Young, Jim Brian

Young, Jim Brian is an individual health care provider with primary practice located at 576 Fort Loudoun Medical Center Dr Ste 203 , Lenoir City TN 37772-5676. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Young, Jim Brian can be contacted via phone (865) 271-6095.

Contact Information

Primary practice address
576 Fort Loudoun Medical Center Dr Ste 203 Lenoir City TN 37772-5676
Fax: (865) 271-6096
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN16874 Tennessee

Profile Details

NPI number 1952658403
LBN Legal business name Young, Jim Brian
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2012
Last updated Oct 13th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952658403 NPPES
Tennessee MEDICAID Q000026

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