MRS. JENNIFER LYNN YOUNG


Address: 1341 College Park Rd Ste A, Summerville, SC 29486
Phone: 8434000028

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
19808 SC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC NP3513 05

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Office Location

Street Address 1341 COLLEGE PARK RD STE A
City SUMMERVILLE
State SC
Zip Code 29486

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982037495 Amanda Mcallister Nurse Practitioner 1341 College Park Rd Ste A, Summerville, SC 29486 2013-08-20

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SUMMERVILLE
Zip Code 29486

Improve Information

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Dataset Information

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.

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