Jennifer Ellen Young MSM, PA-C

NPI 1093063380 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093063380
Gender Female
Enumeration Date 08/17/2012
Last Updated 08/17/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2301 S CLEAR CREEK RD STE 206
KILLEEN TX, 76549-4119, US
Phone (254) 628-5454
Fax (254) 628-2729
Business Location
1700 UNIVERSITY BLVD APT 1424
ROUND ROCK TX, 78665-8029, US
Phone (615) 513-7804
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA07823
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According to our database, Ms. Jennifer Ellen Young MSM, PA-C NPI is 1093063380, taxonomy code is 363AM0700X and license number is PA07823, license state is located at Texas. Jennifer Ellen Young MSM, PA-C physically located at 2301 S Clear Creek Rd Ste 206, Killeen TX, 76549-4119. NPI Number Jennifer Ellen Young MSM, PA-C has the Individual type.

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1093063380 NPI number is provided on an as is basis without warranty of any kind. 1093063380 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Ellen Young MSM, PA-C are for informational purposes only.