Jennifer Sue Young, APRN | |
1300 Creason Rd, Corning, AR 72422-1716 | |
(870) 857-3399 | |
Not Available |
Full Name | Jennifer Sue Young |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1300 Creason Rd, Corning, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003203274 | NPI | - | NPPES |
209603758 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | A004391 (Arkansas) | Primary |
Entity Name | 1st Choice Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942256508 PECOS PAC ID: 0648184218 Enrollment ID: O20100427000059 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Sue Young, APRN Po Box 83, Corning, AR 72422-0083 Ph: (870) 857-3334 | Jennifer Sue Young, APRN 1300 Creason Rd, Corning, AR 72422-1716 Ph: (870) 857-3399 |
Brandon Thornton, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Creason Rd, Corning, AR 72422 Phone: 870-857-3399 Fax: 870-857-3301 | |
Heather Beth Hart, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Creason Rd, Corning, AR 72422 Phone: 870-857-3399 Fax: 870-857-3301 | |
Mrs. Tonya Roshell Moss, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 602 David St, Corning, AR 72422 Phone: 870-857-3655 Fax: 870-857-3667 | |
Mary Elizabeth Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 Creason Rd, Corning, AR 72422 Phone: 870-857-3399 Fax: 870-857-3301 | |
Donna Marie Rhea, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1300 Creason Rd, Corning, AR 72422 Phone: 870-857-3399 Fax: 870-857-3301 | |
Lara Ann Mcglothlin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 W 4th St, Corning, AR 72422 Phone: 870-631-3538 Fax: 870-631-3540 |