THOMAS JEFFREY YOUNG CNP NPI 1295174399

NPI Information

NPI: 1295174399
Provider Name: THOMAS JEFFREY YOUNG, CNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805
Phone: (218) 786-8364
Get Directions

Thomas Jeffrey Young, CNP is an adult health nurse practitioner in Duluth, MN with 11 years of experience. Thomas Jeffrey Young, CNP NPI is 1295174399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 E 3RD ST
ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN
ZIP 55805-951
Phone: (218) 786-8364

The NPI 1295174399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/21/2013 and was last updated on 10/18/2013.

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	363LG0600X	Nurse Practitioner	Gerontology	R175640-5	MINNESOTA	No
2	363LA2200X	Nurse Practitioner	Adult Health	R175640-5	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1295174399	MEDICAID	MICHIGAN
2	1295174399	MEDICAID	MINNESOTA
3	1295174399	MEDICAID	WISCONSIN

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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