MS. GERALDINE Q YOUNG (NPI# 1952339335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952339335 |
| Entity Type | Individual |
| Full Name | MS. GERALDINE Q YOUNG |
| Other Name | MS. GERALDINE Q STEWART |
| Credential | CFNP |
| Practice Address |
1134 Winter St Jackson MS 39204-2841 |
| Practice Telephone | 6019485572 |
| Practice Fax Number | 6013537070 |
| Mailing Telephone | 6019485572 |
| Mailing Fax Number | 6013537070 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2008-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R861956 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05933790 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144359233 | Geraldine Prose Young | Pathology | 681 Meetinghouse Rd, #7, Elkins Park, PA 19027-1527 | 2007-03-05 |
| 1427101781 | Geraldine Young | Counselor | 410 W Grand, Marshall, TX 75670 | 2007-01-19 |
| 1295941631 | Geraldine Young | Physical Therapy Assistant | 400 W Cummings Park Ste 3950, Woburn, MA 01801-6538 | 2007-05-15 |
| Street Address |
1134 WINTER ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144281262 | Michael Reese Johnson | Family Medicine | 1134 Winter St, Jackson, MS 39204-2841 | 2006-03-29 |
| 1215560545 | Chinnika Latrice Crisler | Social Worker | 1134 Winter St, Jackson, MS 39204-2841 | 2020-02-14 |
| 1912471939 | Zipora Martin-brown | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2019-01-12 |
| 1538697453 | Trevalla Kaye Lindsey | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2017-05-23 |
| 1073069498 | Central Mississippi Health Services, Inc. | Preferred Provider Organization | 1134 Winter St, Jackson, MS 39204-2841 | 2016-08-26 |
| 1982001632 | Catina Shavon Butler | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2014-11-24 |
| 1376948075 | Shaquita Shaw | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2014-10-24 |
| 1427458819 | Latoya P. Johnson | Physician Assistant | 1134 Winter St, Jackson, MS 39204-2841 | 2014-09-04 |
| 1578739934 | Otrie Bertrelle Hickerson | Community Health Worker | 1134 Winter St, Jackson, MS 39204-2841 | 2008-05-06 |
| 1568598027 | Ericka M Micou | Nurse Practitioner | 1134 Winter St, Jackson, MS 39204-2841 | 2007-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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| 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.