MRS. MICKEY JEAN YOUNG (NPI# 1619115540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619115540 |
| Entity Type | Individual |
| Full Name | MRS. MICKEY JEAN YOUNG |
| Credential | RN |
| Practice Address |
1036 Sheffield Pl Alton IL 62002-7574 |
| Practice Telephone | 6185671104 |
| Mailing Telephone | 6184661407 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0900X |
Registered Nurse Specialization: Enterostomal Therapy |
041185157 | IL | Nursing Service Providers |
| Y | 163WE0900X |
Registered Nurse Specialization: Enterostomal Therapy |
092255 | MO | Nursing Service Providers |
| Street Address |
1036 SHEFFIELD PL |
| City | ALTON |
| State | IL |
| Zip Code | 62002-7574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 163WE0900X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Enterostomal Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614429 | Leann Mcmonigal | Registered Nurse | 716 Concord Dr, Crystal Lake, IL 60014-1820 | 2020-09-20 |
| 1083814529 | Nancy Slone Rivera | Registered Nurse | 1719 Belle Plaine Ave, Gurnee, IL 60031-5498 | 2007-07-23 |
| 1205041407 | Usha Patel | Registered Nurse | 6155 157th St, Oak Forest, IL 60452-2706 | 2007-05-11 |
| 1164929188 | Lou Ann Ary | Registered Nurse | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2018-04-06 |
| 1093001679 | Estelle A Zanotti | Registered Nurse | 1555 Barrington Rd, Hoffman Estates, IL 60169-1019 | 2011-06-22 |
| 1174731103 | Mary T Mccarthy | Registered Nurse | 251 E Huron St, Feinberg Pavillion 4-508, Chicago, IL 60611-2908 | 2007-05-21 |
| 1689719387 | Janice C. Colwell | Registered Nurse | 5841 S. Maryland Ave, Mc6043, Chicago, IL 60637 | 2007-02-20 |
Please comment or provide details below to improve the information on MRS. MICKEY JEAN 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.