MRS. JENNIFER LYNN YOUNG (NPI# 1437521556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437521556 |
Entity Type | Individual |
Full Name | MRS. JENNIFER LYNN YOUNG |
Other Name | JENNIFER LYNN WAGNER |
Credential | FNP-C |
Practice Address |
1341 College Park Rd Ste A Summerville SC 29486 |
Mailing Address |
1341 College Park Rd Ste A Summerville SC 29486-8635 |
Practice Telephone | 8434000028 |
Practice Fax Number | 8437908449 |
Mailing Telephone | 8434000028 |
Mailing Fax Number | 8437908449 |
Enumeration Date | 2015-10-28 |
Last Update Date | 2018-10-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
19808 | SC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | NP3513 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659970663 | Jennifer Young | Counselor | 3490 Us Highway 1 Ste 11, Princeton, NJ 08540-5920 | 2020-10-21 |
1083236467 | Jennifer Young | Speech-Language Pathologist | 145 Parkside Ave, Manchester, NH 03102-3603 | 2020-05-08 |
1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
1629518428 | Jennifer L Young | Physical Therapist | 12822 Del Corso Loop, Bradenton, FL 34211-8434 | 2017-02-28 |
1689125510 | Jennifer Young | Assistant Behavior Analyst | 2000 Cheatham Dam Rd, Charlotte, TN 37036-5033 | 2016-10-15 |
1336528389 | Jennifer Susan Young | Counselor | 503 Natoma St, Folsom, CA 95630-2523 | 2015-05-22 |
1659762573 | Jennifer Young | Counselor | 8887 Cr 647s, Bushnell, FL 33513-7435 | 2015-02-13 |
1760887178 | Jennifer Young | Nurse's Aide | 10546 Clairdoan Ave, Cleveland, OH 44108-1310 | 2014-10-28 |
1306181144 | Jennifer Lyn Young | Registered Nurse | 801 Trail Road, Sedro Woolley, WA 98284-8563 | 2012-12-05 |
1093063380 | Jennifer Ellen Young | Physician Assistant | 2301 S Clear Creek Rd Ste 206, Killeen, TX 76549-4119 | 2012-08-17 |
Street Address |
1341 COLLEGE PARK RD STE A |
City | SUMMERVILLE |
State | SC |
Zip Code | 29486 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982037495 | Amanda Mcallister | Nurse Practitioner | 1341 College Park Rd Ste A, Summerville, SC 29486 | 2013-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
1750928164 | Tidewater Eyecare, LLC | Optometrist | 301 Front St., Summerville, SC 29486 | 2019-12-04 |
1366086621 | Tgd-summerville LLC | Dentist | 604-a Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
1336783604 | Tdsp-summerville LLC | Dentist | 604-b Nexton Square Dr, Summerville, SC 29486 | 2019-10-30 |
1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
1023511144 | Grace Physical Therapy and Sports Rehab At Nexton | Clinic/Center | 5500 Front St, Suite 201, Summerville, SC 29486 | 2018-03-15 |
1295253086 | Dillon Robert Gregory | Specialist/Technologist | 313 Springdale Ct., Summerville, SC 29486 | 2017-09-01 |
1013456987 | Sfd Kids LLC | Dentist | 108 Parish Farms Drive, Summerville, SC 29486 | 2017-02-13 |
Find all providers in zip 29486 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
1043707557 | Seaside Family Medicine, LLC | Nurse Practitioner | 1341 College Park Rd # A, Summerville, SC 29486 | 2018-04-19 |
1336649953 | Rochelle D. Elayda | Nurse Practitioner | 1101 Old Trolley Rd Ste 100, Summerville, SC 29485-5294 | 2018-02-20 |
1558877357 | Christina Marie Cottrell | Nurse Practitioner | 679 Orangeburg Rd Unit F, Summerville, SC 29483-9038 | 2017-12-17 |
1659897858 | Brandon Michael Williams | Nurse Practitioner | 109 Carroll Ct, Summerville, SC 29483-4227 | 2017-08-18 |
1477927663 | Alma Boone | Nurse Practitioner | 124 Valentin Dr, Summerville, SC 29483-8439 | 2015-11-25 |
1033526231 | Shenise Seabrook | Nurse Practitioner | 9656 Pebble Creek Blvd, Summerville, SC 29485-8946 | 2014-07-20 |
1952730889 | Brenda Veatch-haynes | Nurse Practitioner | 123 Martin St, Summerville, GA 30747-1260 | 2013-11-01 |
1477829703 | Life Center Family Medicine | Nurse Practitioner | 679 Orangeburg Rd Ste F, Summerville, SC 29483-8914 | 2012-03-30 |
1497053656 | Kimberly Vaughn | Nurse Practitioner | 138 Mitchell Dr, Summerville, GA 30747-6642 | 2011-03-11 |
Find all providers in SUMMERVILLE |
City | SUMMERVILLE |
Zip Code | 29486 |
Please comment or provide details below to improve the information on MRS. JENNIFER LYNN YOUNG.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.