Layman Young, Jennifer Ann

Layman Young, Jennifer Ann is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Layman Young, Jennifer Ann can be contacted via phone (269) 687-0808.

Contact Information

Primary practice address
2002 S 11Th St Niles MI 49120-4074
Phone: (269) 687-0808
Fax: (269) 684-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28142683A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 470195740 Michigan

Profile Details

NPI number 1164764155
LBN Legal business name Layman Young, Jennifer Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2013
Last updated Apr 29th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164764155 NPPES
Indiana MEDICAID 201178960
Indiana MEDICAID 1164764155

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