MEDICARE: JAMIE YOUNG CRNA, ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	ARNP9307873	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528447141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE YOUNG CRNA, ARNP

Provider Business Mailing Address
First Line	:	4048 EVANS AVE
Second Line	:	SUITE 303
City	:	FORT MYERS
State	:	FL
Zip	:	33901-9322
Country	:	US
Telephone Number	:	239-332-5344
Fax Number	:	239-332-7246

Provider Business Practice Location Address
First Line	:	9981 S HEALTHPARK DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3618
Country	:	US
Telephone Number	:	239-343-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2015
Last Update Date	:	12/18/2025

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