PATRICIA JO YOUNG CNP NPI 1790473692

NPI Information

  • NPI: 1790473692
  • Provider Name: PATRICIA JO YOUNG, CNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1810 MORAN ST
    IDAHO FALLS, ID
    ZIP 83401
  • Phone: (208) 529-0342

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NPI Details

Patricia Jo Young, CNP is a gerontology nurse practitioner in Idaho Falls, ID with 4 years of experience. Patricia Jo Young, CNP NPI is 1790473692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1810 MORAN ST
IDAHO FALLS, ID
ZIP 83401-337
Phone: (208) 529-0342
Fax: (208) 529-6981

The NPI 1790473692 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 4/27/2023 and was last updated on 4/12/2024.

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
1363L00000XNurse Practitioner73974IDAHONo
2363LG0600XNurse PractitionerGerontology73974IDAHOYes

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: 11/21/2025

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