Provider Demographics
NPI:1871399915
Name:YOUNG, JENNY (RN)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:YOUNG
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86631 575 AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:NE
Mailing Address - Zip Code:68745-1629
Mailing Address - Country:US
Mailing Address - Phone:402-640-6262
Mailing Address - Fax:
Practice Address - Street 1:86631 575 AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:NE
Practice Address - Zip Code:68745-1629
Practice Address - Country:US
Practice Address - Phone:402-640-6262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion