Individual provider · Type 1 NPI

Jessica Rae Young, FNP

Family Nurse Practitioner · Staten Island, NY

NPI number 1417469602 Active

Practice location

2177 Victory Blvd
Staten Island, NY 10314-6603

Fax (718) 966-7483

Mailing address

229 Preston Ave
Staten Island, NY 10312-5510

Other practice locations

  • 4143 Richmond Ave, Staten Island, NY 10312-5637 · (718) 966-5556

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X342225 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1417469602

Jessica Rae Young, FNP's National Provider Identifier is 1417469602, issued on Oct 29, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 28, 2024.