Constance L Young, FNP | |
527 Benham St, Bonne Terre, MO 63628-1205 | |
(573) 358-9119 | |
(573) 358-9489 |
Full Name | Constance L Young |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 527 Benham St, Bonne Terre, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891767125 | NPI | - | NPPES |
428318000 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 076265 (Missouri) | Primary |
Entity Name | Washington County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194838821 PECOS PAC ID: 3476456880 Enrollment ID: O20040131000146 |
Entity Name | Great Mines Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035 |
Entity Name | Primary Care Of Bonne Terre Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962883751 PECOS PAC ID: 4183925415 Enrollment ID: O20151210001830 |
Mailing Address | Practice Location Address |
---|---|
Constance L Young, FNP 527 Benham St, Bonne Terre, MO 63628-1205 Ph: (573) 358-9119 | Constance L Young, FNP 527 Benham St, Bonne Terre, MO 63628-1205 Ph: (573) 358-9119 |
Ms. Mary Suzanne Jones, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2727 Highway K, Bonne Terre, MO 63628 Phone: 573-358-5516 | |
Rachel Ann Francis, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628 Phone: 573-358-1700 Fax: 573-358-1702 | |
Hunter Elijah Wadlow, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd Ste C, Bonne Terre, MO 63628 Phone: 573-358-4600 | |
Zacharias Alan Dane, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Nesbit Dr, Bonne Terre, MO 63628 Phone: 573-358-1700 Fax: 573-358-1702 | |
Ann Kirby, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628 Phone: 573-723-1100 Fax: 573-723-1130 | |
Cristen Mae Mckibben, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7245 Raider Rd Ste C, Bonne Terre, MO 63628 Phone: 573-438-6000 | |
Glenda Charlene Counts, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 S Division St Ste A, Bonne Terre, MO 63628 Phone: 573-723-1100 Fax: 573-723-1130 |