| NPI | 1881112837 |
|---|---|
| Former Name | JENNIFER RENE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 402255) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2020-12-22 |