Provider Demographics
NPI:1659739969
Name:YOUNG, JENNIFER MICHELE (RN MSN APRN FNP-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MICHELE
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RN MSN APRN FNP-C
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:M
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN MSN APRN FNP-C
Mailing Address - Street 1:707 CONRAD HILTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CISCO
Mailing Address - State:TX
Mailing Address - Zip Code:76437-3139
Mailing Address - Country:US
Mailing Address - Phone:544-884-8652
Mailing Address - Fax:544-884-8662
Practice Address - Street 1:707 CONRAD HILTON BLVD
Practice Address - Street 2:
Practice Address - City:CISCO
Practice Address - State:TX
Practice Address - Zip Code:76437-3139
Practice Address - Country:US
Practice Address - Phone:544-884-8652
Practice Address - Fax:544-884-8662
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130079363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily