CONSTANCE L YOUNG


Address: 527 Benham St, Bonne Terre, MO 63628-1205
Phone: 5733589119

CONSTANCE L YOUNG (NPI# 1891767125) 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) 1891767125
Entity Type Individual
Full Name CONSTANCE L YOUNG
Credential FNP
Practice Address 527 Benham St
Bonne Terre
MO 63628-1205
Practice Telephone 5733589119
Practice Fax Number 5733589489
Mailing Telephone 5733589119
Mailing Fax Number 5733589489
Enumeration Date 2006-02-02
Last Update Date 2015-06-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
076265 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 428318000 05

Other Providers CONSTANCE YOUNG

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1962803395 Constance Young Licensed Practical Nurse 240 Duncan Dr Bldg 1440, Tuttle Army Health Clinic, Savannah, GA 31409-5102 2014-09-04
1225001415 Constance Ann Young Nurse Practitioner 1326 State Rd 100, Grandin, FL 32138-0129 2006-02-09
1306837000 Constance A Young Obstetrics & Gynecology 255 Greenwich St Ste 510, New York, NY 10007-2422 2005-11-02
1861031288 Constance Young Case Manager/Care Coordinator 105 Highway 9, Oxford, AR 72565-0096 2020-01-02

Office Location

Street Address 527 BENHAM ST
City BONNE TERRE
State MO
Zip Code 63628-1205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427045004 Pairat Vibulakaopun Internal Medicine 527 Benham St, Bonne Terre, MO 63628-1205 2005-09-29
1669017315 Patricia Ann Peterson Nurse Practitioner 527 Benham St, Bonne Terre, MO 63628-1205 2019-11-15
1225562077 Ronay Rodgers Nurse Practitioner 527 Benham St, Bonne Terre, MO 63628-1205 2017-04-19
1962883751 Primary Care of Bonne Terre LLC Clinic/Center 527 Benham St, Bonne Terre, MO 63628-1205 2015-06-17
1720349970 Washington County Memorial Hospital Clinic/Center 527 Benham St, Bonne Terre, MO 63628-1205 2012-06-05
1609841956 Andrew John Ninichuck General Practice 527 Benham St, Bonne Terre, MO 63628-1205 2006-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437675477 Kybama, Inc Residential Treatment Facility, Emotionally Disturbed Children 12729 Stoney Point Rd, Bonne Terre, MO 63628 2017-08-22
1295092500 Jak Properties Inc In Home Supportive Care 522 Benham St, Suite B, Bonne Terre, MO 63628 2012-04-12
1013121599 Joseph Richard Engel Dentist 20 W Johnson St, Bonne Terre, MO 63628 2007-05-10
1215093844 Debra Long Morgan Dentist 20 West Johnson Street, Bonne Terre, MO 63628 2006-12-28
1497811459 Robert Oliver Greenwald Dentist #20 W Johnson, Bonne Terre, MO 63628 2006-12-27
1255964508 American Nursing & Rehab LLC Assisted Living Facility 10 Lake Drive, Bonne Terre, MO 63628 2020-02-14
1962679746 Robert O Greenwald Dds PC Dentist #20 W Johnson, Bonne Terre, MO 63628 2008-05-12
1124014030 Kenny Ratana Radiology 527 Benham St # B, Bonne Terre, MO 63628-1205 2005-09-26
1578064796 Nancy Neece Counselor 12 N Allen St, Bonne Terre, MO 63628-1210 2018-02-22
1790958288 John Paul Lawson Jr. Pharmacist 36 N Allen St, Bonne Terre, MO 63628-1210 2008-04-07
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376009456 Jenna Suzan Boyd Nurse Practitioner 7245 Raider Rd Ste C, Bonne Terre, MO 63628-3767 2019-02-14
1851342950 Leisa Jan Blue Nurse Practitioner 55 Nesbit Dr, Bonne Terre, MO 63628-1353 2006-05-13
1770190050 Tiffany Arnold Nurse Practitioner 10 Lake Dr, Bonne Terre, MO 63628-1820 2020-09-30
1669017315 Patricia Ann Peterson Nurse Practitioner 527 Benham St, Bonne Terre, MO 63628-1205 2019-11-15
1356982896 Michelle Renee Rodriguez-miller Nurse Practitioner 55 Nesbit Dr, Bonne Terre, MO 63628-1353 2019-10-07
1073169363 Rachel Ann Francis Nurse Practitioner 55 Nesbit Dr, Bonne Terre, MO 63628-1353 2019-08-13
1003338385 Mary Suzanne Jones Nurse Practitioner 2727 Highway K, Bonne Terre, MO 63628-3430 2017-07-08
1225562077 Ronay Rodgers Nurse Practitioner 527 Benham St, Bonne Terre, MO 63628-1205 2017-04-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134720816 Blake Christian Cory Nurse Practitioner 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 2020-11-08
1336740620 Courtney J Perkins Nurse Practitioner 724 Sw 30th St, Blue Springs, MO 64015-3381 2020-11-04
1467052381 Kristin Nersesyan Nurse Practitioner 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 2020-10-29
1265032346 Sara Lynn Gillespie Nurse Practitioner 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 2020-10-28
1659971992 Carrie Ellen Smith Nurse Practitioner Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 2020-10-27
1417556994 Tory Linn Francis Nurse Practitioner 19155 Fry Rd, Edgerton, MO 64444-9037 2020-10-26
1174123509 Megan Ashley Wagner Nurse Practitioner 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 2020-10-26
1033718903 Lisa Jo Moore Nurse Practitioner 2623 S Main Street, Nixa, MO 64804 2020-10-22
1831798792 Alicia Caroline Baker Nurse Practitioner 1070 W 7th St, Washington, MO 63090 2020-10-21
1114526266 Leslie Desha Nurse Practitioner 1109 Pheasant Run, Columbia, MO 65201-6253 2020-10-20
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Competitor

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City BONNE TERRE
Zip Code 63628

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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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