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General NPI Number Information
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NPI Number | 1013816198
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Entity Type | Organization
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Legal Business Name | YOUNGS INTEGRATIVE PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 11357 LELAND GROVES DR FL 33579
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City | RIVERVIEW
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State | FL
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Zip | 33579-2442
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Country | US
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Telephone | 908-910-1238
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Fax | 813-315-7970
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Provider Business Mailing Address
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Address Line | 11357 LELAND GROVES DR FL 33579
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City | RIVERVIEW
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State | FL
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Zip | 33579-2442
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Country | US
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Telephone | 908-910-1238
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Fax |
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Authorized Official
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Title or Position | PMHNP/OWNER
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Name | GENNIFER MARIE YOUNG
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Credential | APRN, PMHNP-BC
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Telephone | 908-910-1238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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