Individual provider · Type 1 NPI
Young Dreaden, NP
Family Nurse Practitioner · Jackson, GA
NPI number
1306225057
Active
Practice location
2978 Hwy 36W
Jackson, GA 30233
Mailing address
Gdcp,p.o.box 3877
Jackson, GA 30233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN 109306 NP (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1306225057
Young Dreaden, NP's National Provider Identifier is 1306225057, issued on May 28, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, GA. The record was last updated on May 28, 2015.