JASON R YOUNG (NPI# 1205224870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205224870 |
| Entity Type | Individual |
| Full Name | JASON R YOUNG |
| Credential | CNP |
| Practice Address |
643 E 3rd St Gentry AR 72734-8258 |
| Mailing Address |
Po Box 9 Gentry AR 72734-0009 |
| Practice Telephone | 4797362213 |
| Practice Fax Number | 4797362105 |
| Mailing Telephone | 4797362213 |
| Mailing Fax Number | 4797362105 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ATP000731 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952873374 | Jason Wayne Young | Counselor | 3522 Santiago Ct, Merced, CA 95348-9534 | 2018-12-24 |
| 1154878767 | Jason Yuan-kai Young | Dentist | 303 E 33rd St Apt 6j, New York, NY 10016-7611 | 2016-09-01 |
| 1588951123 | Jason Cooper Young | Physical Therapist | 111 Saratoga Ave, Apt. #2113, Santa Clara, CA 95051-7339 | 2011-07-04 |
| 1477673325 | Jason L Young | Pharmacist | 1949 North Wayne Road, Suite B, Westland, MI 48185 | 2007-03-31 |
| 1386773257 | Jason Wiley Young | Psychologist | 2435 Lynn Rd., Suite 200, Raleigh, NC 27612 | 2007-03-05 |
| 1861028862 | Jason Young | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-03-21 |
| 1992290845 | Jason Scott Young | Case Manager/Care Coordinator | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2018-06-23 |
| 1629505474 | Jason Joseph Young Jr. | Emergency Medicine | 967 N Broadway, Yonkers, NY 10701-1301 | 2017-05-11 |
| 1679004121 | Jason Young | Student in an Organized Health Care Education/Training Program | 1160 W Michigan St, Indianapolis, IN 46202-5209 | 2017-03-27 |
| 1255709382 | Jason Young | Dentist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2015-09-06 |
| Street Address |
643 E 3RD ST |
| City | GENTRY |
| State | AR |
| Zip Code | 72734-8258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861482739 | Catherine Elaine Casey | Nurse Practitioner | 643 E 3rd St, Gentry, AR 72734-8258 | 2005-10-24 |
| 1245329663 | Ashish Mathur | Family Medicine | 643 E 3rd St, Gentry, AR 72734-8258 | 2006-10-12 |
| 1336198365 | John Elton Caswell | Family Medicine | 643 E 3rd St, Gentry, AR 72734-8258 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831314574 | Scott David Stubbs | Dentist | 304 East Main, Gentry, AR 72734 | 2007-04-16 |
| 1760534226 | Alan L Lamb | Dentist | 304 E Main, Gentry, AR 72734 | 2007-01-17 |
| 1124182142 | Ford Dental Care | Dentist | 125 N Rust Ave, Gentry, AR 72734 | 2006-12-21 |
| 1225080286 | Robert H Weaver | Family Medicine | 643 E Third St, Gentry, AR 72734 | 2006-05-17 |
| 1487646022 | Jerry Derek Ford | Dentist | 125 North Rust Ave, Gentry, AR 72734 | 2005-08-19 |
| 1033356472 | Gentry Family Dentistry Pllc | Dentist | 304 E Main, Gentry, AR 72734 | 2009-01-07 |
| 1609488758 | Kaylin Gene Cripps | Occupational Therapist | 302 W 2nd St, Gentry, AR 72734-5502 | 2020-08-20 |
| 1255410999 | Smith Drug Pllc | Durable Medical Equipment & Medical Supplies | 695 E 3rd St, Gentry, AR 72734-8258 | 2006-11-03 |
| 1003388570 | Emily Smith | Pharmacist | 695 E 3rd St, Gentry, AR 72734-8258 | 2018-12-21 |
| 1447619572 | Ppg Store 2 LLC | Pharmacy | 560 Gentry Blvd, Gentry, AR 72734-8576 | 2016-02-17 |
| Find all providers in zip 72734 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376066449 | Meghan Williams | Nurse Practitioner | 644 Red Oak St, Gentry, AR 72734-9692 | 2017-07-20 |
| 1093104895 | Johnny Mac Stevens | Nurse Practitioner | 16485 Aubrey Long Rd, Gentry, AR 72734-9671 | 2015-01-16 |
| 1861482739 | Catherine Elaine Casey | Nurse Practitioner | 643 E 3rd St, Gentry, AR 72734-8258 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1437758026 | Ashley Michelle Rima | Nurse Practitioner | 205 Spencer St, Hot Springs, AR 71901-7742 | 2020-10-23 |
| 1063010874 | Phillip Wayne Stokes Jr. | Nurse Practitioner | 31 Ashcraft Ct, Paragould, AR 72450-7592 | 2020-10-14 |
| 1720685308 | Dannie Evenda Loy | Nurse Practitioner | 101 Hammond Drive #2131, Hot Springs, AR 71914 | 2020-10-06 |
| 1457958233 | Kaitlyn Soffray Simmons | Nurse Practitioner | 500 Kitchen St, Jonesboro, AR 72401-3135 | 2020-10-05 |
| 1013524487 | Danielle Lynn Frueh | Nurse Practitioner | 103 W University St, Siloam Springs, AR 72761-2663 | 2020-09-29 |
| 1407463938 | Aleshia Williams | Nurse Practitioner | 5401 Clear Creek Ln, Jonesboro, AR 72404-7006 | 2020-09-29 |
| 1801403217 | Jessica Evelyn Mcnamee | Nurse Practitioner | 180 Medical Park Pl Ste 202, Hot Springs, AR 71901-8067 | 2020-09-29 |
| 1437765831 | Allison Nicole Hitt | Nurse Practitioner | 3644 W Hwy 18, Manila, AR 72442 | 2020-09-21 |
| 1528674181 | Maggie Mullican | Nurse Practitioner | 7084 S Pleasant Ridge Dr, Fayetteville, AR 72704-5447 | 2020-09-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JASON R YOUNG.
| 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.