Provider Demographics
NPI:1124230669
Name:JI, NA YOUNG (MD)
Entity Type:Individual
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First Name:NA YOUNG
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Last Name:JI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:707 N BROADWAY
Mailing Address - Street 2:KENNEDY KRIEGER INSTITUTE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21205-1832
Mailing Address - Country:US
Mailing Address - Phone:443-923-7793
Mailing Address - Fax:443-923-7805
Practice Address - Street 1:3901 GREENSPRING AVE
Practice Address - Street 2:PSYCHIATRY MAIL ROOM, KENNEDY KRIEGER INSTITUTE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-1353
Practice Address - Country:US
Practice Address - Phone:433-923-7793
Practice Address - Fax:433-923-7805
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2009-02-05
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Provider Licenses
StateLicense IDTaxonomies
MDD00674192084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC35402UMedicare UPIN