Jessica Marie Young

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

115279 Issued in WV

Practice address

104 George Bishop Pkwy
Myrtle Beach, SC 29579-7335

Phone

(877) 848-9810

NPI assigned

Jul 25, 2025

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1356223663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BRAGGS WAY UNIT 2102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724669",
            "telephone_number": "304-546-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GEORGE BISHOP PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797335",
            "telephone_number": "877-848-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "115279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Grace Yos, MD
• Young Talkers, LLC
• Young Talkers, LLC
• Nicole Young-Cline, M.A., CCC-SLP
• Christy Young, REGISTERED NURSE
• Morgan Young
• Richard W Young, DR
• Your Therapy Works LLC,
• Emma Marie Youtzy
• Zachary W McMillan DMD LLC

• Addiction (Substance Use Disorder) Registered Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Addiction (Substance Use Disorder) Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.