Most Relevant Information
Provider Data
| NPI Number: | 1003203274 |
| Provider Name: | JENNIFER SUE YOUNG APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | A004391 |
Most Important Dates
| Enumeration Date: | 04/24/2015 |
| Last Updated: | 08/15/2024 |
Provider Practice Location
1300 CREASON RD
CORNING
AR
724221716
Practice Location Phone/Fax
| Phone: | 8708573399 |
| Fax: |
Provider Mailing Location
PO BOX 83
CORNING
AR
724220083
Provider Mailing Phone/Fax
| Phone: | 8708573334 |
| Fax: |