Individual provider · Type 1 NPI

Jacqueline Jade Young, FNP-C

Family Nurse Practitioner · Provo, UT

NPI number 1336090190 Active

Practice location

1055 N 500 W Bldg C
Provo, UT 84604-3305

Call (920) 903-4555 Map

Mailing address

1055 N 500 W
Provo, UT 84604-3305

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X13344666-4405 (UT)
Registered Nurse 163W00000X13344666-3102 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1336090190

Jacqueline Jade Young, FNP-C's National Provider Identifier is 1336090190, issued on Feb 6, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Provo, UT. The record was last updated on Mar 27, 2026.