MRS. MICKEY JEAN YOUNG RN NPI 1619115540

NPI Information

NPI: 1619115540
Provider Name: MRS. MICKEY JEAN YOUNG, RN
Classification: Registered Nurse - 163WE0900X
Entity Type: Individual

Specialization: Enterostomal Therapy

Address:
1036 SHEFFIELD PL
ALTON, IL
ZIP 62002
Phone: (618) 567-1104
Get Directions

MRS. Mickey Jean Young, RN is an enterostomal therapy registered nurse in Alton, IL. MRS. Mickey Jean Young, RN NPI is 1619115540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1036 SHEFFIELD PL
ALTON, IL
ZIP 62002-574
Phone: (618) 567-1104

The enumeration date for this NPI number is 1/30/2009 and was last updated on 1/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0900X	Registered Nurse	Enterostomal Therapy	041185157	ILLINOIS	No
2	163WE0900X	Registered Nurse	Enterostomal Therapy	092255	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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