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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
076265 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 428318000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
527 BENHAM ST |
City | BONNE TERRE |
State | MO |
Zip Code | 63628-1205 |
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 |
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 |
Find all providers in zip 63628 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | BONNE TERRE |
Zip Code | 63628 |
Please comment or provide details below to improve the information on CONSTANCE L 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.