MRS. MARY J YOUNG (NPI# 1194817452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194817452 |
| Entity Type | Individual |
| Full Name | MRS. MARY J YOUNG |
| Practice Address |
2213 East Highland Drive Jonesboro AR 72401 |
| Mailing Address |
P.o. Box 17221 Jonesboro AR 72403 |
| Practice Telephone | 8702681777 |
| Practice Fax Number | 8702681777 |
| Mailing Telephone | 8702681777 |
| Mailing Fax Number | 8702681777 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-11-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604360 | Mary Beth Young | Speech-Language Pathologist | 1692 Elm Pl, Clearwater, FL 33755-1317 | 2019-11-26 |
| 1447748637 | Mary Catherine Young | Specialist/Technologist | 585 Longview Dr, Lexington, KY 40503-1707 | 2018-04-24 |
| 1407378789 | Mary Theresa Young | Assistant Behavior Analyst | 5787 Grand Teton Loop, Anchorage, AK 99502-4057 | 2017-07-08 |
| 1902341647 | Mary E Young | Pediatrics | 10119 Gary Rd, Potomac, MD 20854-4109 | 2017-01-04 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1649618687 | Mary Catherine Young | Registered Nurse | 532 Meridan St, Morgantown, WV 26505 | 2013-06-12 |
| 1093073702 | Mary E Young | Counselor | Lifeworks Counseling Services, 2500 S Broadway, Ste 340b, Edmond, OK 73013 | 2012-05-01 |
| 1841563269 | Mary Young | Physical Therapist | 420 Wharton St, Philadelphia, PA 19147-5227 | 2012-02-15 |
| 1548561525 | Mary C Young | Counselor | 2806 Highway 35 N, Rockport, TX 78382-5711 | 2010-11-08 |
| 1437462827 | Mary Elizabeth Young | Marriage & Family Therapist | 1202 S Fm116 Copperas Cove, Apt 1104, Copperas Cove, TX 76522-3604 | 2010-07-14 |
| Street Address |
2213 EAST HIGHLAND DRIVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227876 | Shirley Ann Morton | Specialist | 188 North Ave, Jonesboro, GA 30236-3215 | 2016-11-03 |
| 1306286323 | Eric Chandler Treadway | Specialist | 1699 Stadium Blvd, Suite H, Jonesboro, AR 72401 | 2013-07-05 |
| 1679819312 | Ethel L High | Specialist | 9285 Carnes Estates Dr, Jonesboro, GA 30236-6275 | 2012-12-28 |
| 1538438254 | Chenell Denise Williams | Specialist | 308 Wilburn St, Jonesboro, GA 30236-3637 | 2011-12-26 |
| 1134406341 | Ashley Brooke Thrasher | Specialist | 2105 E Aggie Rd, Arkansas State University-hpess, Jonesboro, AR 72401 | 2011-11-16 |
| 1679856967 | Amy Forester | Specialist | 806 Glendale, Jonesboro, AR 72401 | 2011-09-22 |
| 1891000550 | Sunil Gera M.d.p.a. | Specialist | 2601 Southwest Sq, Jonesboro, AR 72401-5969 | 2010-08-18 |
| 1922338292 | Nataki Burke | Specialist | 10305 Misty Ridge Dr, Jonesboro, GA 30238-8027 | 2010-01-07 |
| 1215176466 | Visa Lahang Avance | Specialist | 1656 W Matthews Ave Apt 5, Jonesboro, AR 72401-3311 | 2009-02-11 |
| 1538297395 | Michael Devon Brown | Specialist | 1710 Battlecreek Village Dr, Jonesboro, GA 30236-8527 | 2007-03-01 |
| Find all providers in JONESBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.