Wanda Renee Young, AGPCNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

544145 Issued in TX

Practice address

3295 FM 3514
Beaumont, TX 77705-7655

Phone

(409) 727-8400

NPI assigned

Sep 18, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505692800000",
    "number": "1033638333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10901 TELEPHONE RD APT 44",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754646",
            "telephone_number": "832-409-9771",
            "fax_number": "713-987-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 FM 3514",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777057655",
            "telephone_number": "409-727-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WANDA",
        "middle_name": "RENEE",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "544145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "00000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cryslynn Young
• Janna Yvette Young, RDN
• Kimberly Lavon Young
• Sage Young, M.S., LPC
• Sandra Catrice Young, LVN
• Joshua Youngblood, FNP-C
• Marianne Elizabeth Youngblood, FNP-C
• Sarah Youngblood, FNP
• Muhammad Sheraz Yousaf
• John P.S. Yu, O.D.

• Adult Health Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.