Young, Rebecca Vanessa

Young, Rebecca Vanessa is an individual health care provider with primary practice located at 109 E 5Th St , Caruthersville MO 63830-1417. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Young, Rebecca Vanessa can be contacted via phone (573) 359-9803.

Contact Information

Primary practice address
109 E 5Th St Caruthersville MO 63830-1417
Phone: (573) 359-9803
Fax: (573) 359-0990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2005027734 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013013681 Missouri

Profile Details

NPI number 1457785123
LBN Legal business name Young, Rebecca Vanessa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2013
Last updated Mar 12th, 2020 - 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 1457785123 NPPES
Missouri MEDICAID 420009234

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