Healthcare Provider Details

I. General information

NPI: 1659152304
Provider Name (Legal Business Name): DANIELLE J YOUNES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2023
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 ATWOOD AVE STE 336
JOHNSTON RI
02919-3228
US

IV. Provider business mailing address

123 WHITE LOAF RD
SOUTHAMPTON MA
01073-9590
US

V. Phone/Fax

Practice location:
  • Phone: 401-589-0885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN79143
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2326659
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2326659
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN03967
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: