Provider Demographics
NPI:1265328405
Name:YOUNG, HELEN AJAMBO
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:AJAMBO
Last Name:YOUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 JONQUIL SPRING RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-5230
Mailing Address - Country:US
Mailing Address - Phone:404-405-2393
Mailing Address - Fax:
Practice Address - Street 1:213 JONQUIL SPRING RD
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-5230
Practice Address - Country:US
Practice Address - Phone:404-405-2393
Practice Address - Fax:404-405-2393
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA255791163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse