MEDICARE: MRS. EMILY JANE YOUNG PAC

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	363A00000X	Physician Assistant	MA051209	PA
2	363A00000X	Physician Assistant	C0003478	MD

General Provider Information

NPI Number	:	1851399968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY JANE YOUNG PAC

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 ST PAUL DR
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17201-1036
Country	:	US
Telephone Number	:	301-797-9240
Fax Number	:

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	04/19/2024

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Directions to “ MRS. EMILY JANE YOUNG PAC” Practice Location

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