MRS. JENICE JANELLE YOUNG


Address: 4 White Birch Ln, Gansevoort, NY 12831-1142
Phone: 5187983567

MRS. JENICE JANELLE YOUNG (NPI# 1861766461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861766461
Entity Type Individual
Full Name MRS. JENICE JANELLE YOUNG
Other Name MISS JENICE JANELLE HICKMAN
Credential RN
Practice Address 4 White Birch Ln
Gansevoort
NY 12831-1142
Practice Telephone 5187983567
Mailing Telephone 5187983567
Enumeration Date 2012-02-28
Last Update Date 2012-02-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
559044-1 NY Nursing Service Providers

Office Location

Street Address 4 WHITE BIRCH LN
City GANSEVOORT
State NY
Zip Code 12831-1142

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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

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1912543646 Catherine Elizabeth Apollonio Registered Nurse 121 Vails Lake Shore Dr, Brewster, NY 10509-1756 2019-11-18
1245875251 Kathleen Szaba Registered Nurse 17 Little Glen Rd, Pittsford, NY 14534-2619 2019-11-13
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Competitor

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City GANSEVOORT
Zip Code 12831

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Dataset Information

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.

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