Jacque Deshay Young, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5867P Issued in KY

Legal business name

JACQUE DESHAY YOUNG, PLLC

Practice address

4242 Danny Dr
New Albany, IN 47150-9363

Phone

(502) 644-4068

NPI assigned

Jun 29, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Jacque Deshay Young, ARNP

Title

Nurse Practitioner

Phone

(502) 644-4068

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1972731032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16353",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402560353",
            "telephone_number": "502-644-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 DANNY DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509363",
            "telephone_number": "502-644-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUE DESHAY YOUNG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_middle_name": "DESHAY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "502-644-4068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5867P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972731032",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639315443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Latrice Jackson-Grundy, PHARMD
• Hannah Jordan Jackson, DMD
• Jessica Jackson, DPM
• Nicole Jackson
• Regina Jackson
• Cara Harris James, D.M.D
• Dawne Michelle James, LCSW
• Kelsey Lynn James
• Sophia Jameson, MSN, FNP-C
• Melodie Jawahir

• Family Nurse Practitioner in New Albany, IN
• Providers in New Albany, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.