Ebony Young, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN636418 Issued in PA

Practice address

1114 Crofton CT
Mount Laurel, NJ 08054-4221

Phone

(571) 217-4648

NPI assigned

Jun 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1639433154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 CROFTON CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544221",
            "telephone_number": "571-217-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 CROFTON CT",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544221",
            "telephone_number": "571-217-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EBONY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15089600",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN636418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Yadlosky
• Ben M. Yang, M.D.
• Brianna Azadeh Yates, MD
• Helen H. Yi, M.D.
• Hannah Yoon, D.M.D.
• Frederick Young, O.D.
• Your Place at Home,LLC
• Amanda J Zacharias, M.S.
• Stephanie C Zaic, LSW
• Zaid Home Care Services

• Registered Nurse in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.