Jane Young

Primary specialty

SpecialistTaxonomy code 174400000X

License

R012370 Issued in ME

Practice address

404 State St
Bangor, ME 04401-6623

Phone

(207) 990-0928

Fax

(207) 945-4354

NPI assigned

Aug 12, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114939832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016623",
            "telephone_number": "207-990-0928",
            "fax_number": "207-945-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016623",
            "telephone_number": "207-990-0928",
            "fax_number": "207-945-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JANE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "R012370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Young, PAC
• Christopher Young, LMSW-CC
• Courtney Louise Young, PA
• Curt Tyler Young, MD
• Jaclyn Young, CRNA
• Kathleen M Young, PMHNP
• Keith Young, LCPC
• Theresa Anne Young, RN
• Michael Yu, PHARMD, RPH
• Liga Yusvirazi, MD

• Specialist in Bangor, ME
• Providers in Bangor, ME by specialty
• Specialist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.