Provider Demographics
NPI:1689374308
Name:YOUNG, JILLIAN ELIZABETH (DNAP)
Entity Type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:ELIZABETH
Last Name:YOUNG
Suffix:
Gender:F
Credentials:DNAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:OGALLALA
Mailing Address - State:NE
Mailing Address - Zip Code:69153-2441
Mailing Address - Country:US
Mailing Address - Phone:412-916-8948
Mailing Address - Fax:
Practice Address - Street 1:806 W 4TH ST
Practice Address - Street 2:
Practice Address - City:OGALLALA
Practice Address - State:NE
Practice Address - Zip Code:69153-2441
Practice Address - Country:US
Practice Address - Phone:412-916-8948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-09
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE96437163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse