Provider Demographics
NPI:1770382152
Name:YOUNG, JANE SHERYL
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:SHERYL
Last Name:YOUNG
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:SHERYL
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:505 S 10TH ST # NE68466
Mailing Address - Street 2:
Mailing Address - City:WYMORE
Mailing Address - State:NE
Mailing Address - Zip Code:68466-2141
Mailing Address - Country:US
Mailing Address - Phone:402-239-7265
Mailing Address - Fax:
Practice Address - Street 1:505 S 10TH ST
Practice Address - Street 2:
Practice Address - City:WYMORE
Practice Address - State:NE
Practice Address - Zip Code:68466-2141
Practice Address - Country:US
Practice Address - Phone:402-239-7265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE251E00000X251E00000X, 253Z00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health