Provider Demographics
NPI:1184053704
Name:YOUNG, DEBBIE (AP)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:LYNNE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2850 ISABELLA BLVD
Mailing Address - Street 2:SUITE 50
Mailing Address - City:JACKSONVILLE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32250-8003
Mailing Address - Country:US
Mailing Address - Phone:904-501-1632
Mailing Address - Fax:
Practice Address - Street 1:2850 ISABELLA BLVD
Practice Address - Street 2:SUITE 50
Practice Address - City:JACKSONVILLE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32250-8003
Practice Address - Country:US
Practice Address - Phone:904-501-1632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-04
Last Update Date:2013-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP2526171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist