YOUNG CITY MEDICAL CARE NPI 1861724874

NPI Information

NPI: 1861724874
Provider Name: YOUNG CITY MEDICAL CARE

Doing Business As: JACQUE DESHAY YOUNG

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1904 CRUMS LN
LOUISVILLE, KY
ZIP 40216
Phone: (502) 644-4068
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YOUNG CITY MEDICAL CARE is a family nurse practitioner in Louisville, KY. YOUNG CITY MEDICAL CARE NPI is 1861724874. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jacque Deshay Young.

The provider's business location address is:

1904 CRUMS LN
LOUISVILLE, KY
ZIP 40216-228
Phone: (502) 644-4068

The provider's authorized official is Jacque Young .
The authorized official title is Ceo and has the following contact phone number (502) 644-4068.

The enumeration date for this NPI number is 2/2/2010 and was last updated on 2/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5867P	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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