Young, Kewanza R

Young, Kewanza R is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Young, Kewanza R can be contacted via phone (601) 376-1000.

Contact Information

Primary practice address
1850 Chadwick Dr Jackson MS 39204-3404
Phone: (601) 376-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 909140 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 909140 Mississippi

Profile Details

NPI number 1629808613
LBN Legal business name Young, Kewanza R
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2024
Last updated Aug 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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