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NPI Code Detail

MEDICARE: JILL ALLISON YOUNG CNM

MEDICARE: JILL ALLISON YOUNG CNM
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
1176B00000XMidwifeAPRN9181902
2367A00000XAdvanced Practice MidwifeAPRN9181902FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ARNP9181902OTHERFLSTATE LICENSE

General Provider Information

NPI Number : 1760861538
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL ALLISON YOUNG CNM
Provider Business Mailing Address
First Line : 215 IMPERIAL BLVD STE B2
Second Line :
City : LAKELAND
State : FL
Zip : 33803-4689
Country : US
Telephone Number : 813-684-2229
Fax Number : 813-413-8507
Provider Business Practice Location Address
First Line : 1525 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-3203
Country : US
Telephone Number : 863-284-6860
Fax Number : 863-688-7959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2015
Last Update Date : 02/06/2026

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