| J R Young Health Equity Institute | |
|
2201 E Reed Rd # 1200 Greenville MS 38703-9449 | |
| (601) 941-7181 | |
| Not Available |
| Full Name | J R Young Health Equity Institute |
|---|---|
| Speciality | Student in an Organized Health Care Education/Training Program |
| Location | 2201 E Reed Rd # 1200, Greenville, Mississippi |
| Authorized Official Name and Position | Geraldine Q. Young (FOUNDER) |
| Authorized Official Contact | 6019417181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J R Young Health Equity Institute Po Box 3939 Greenville MS 38704-3939 Ph: (601) 941-7181 | J R Young Health Equity Institute 2201 E Reed Rd # 1200 Greenville MS 38703-9449 Ph: (601) 941-7181 |
| NPI Number | 1649983388 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 12/27/2022 |
| Medicare PECOS PAC ID | 2668834870 |
|---|---|
| Medicare Enrollment ID | O20230818001760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649983388 | NPI | - | NPPES |
| Provider Name | Geraldine Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952339335 PECOS PAC ID: 5597774190 Enrollment ID: I20060410000489 |
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