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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MICKEY JEAN YOUNG, RN

Active Sole Proprietor

MRS. MICKEY JEAN YOUNG, RN is a Enterostomal Therapy Nurse healthcare provider located in ALTON, Illinois. NPI 1619115540 is currently active in the NPPES registry. Verify at CMS.

Enterostomal Therapy Nurse · ALTON, IL

Registration Details

NPI Number
1619115540
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2009 (17.354458665253 yrs)
Last Updated
Jan 30, 2009
Licenses
092255 (MO)
041185157 (IL)
Sole Proprietor
Yes

Practice Information

Address
1036 SHEFFIELD PL
ALTON, IL, 620027574
Browse IL providers · Browse ZIP 62002
Phone
6185671104
Primary Specialty
Enterostomal Therapy Nurse
163WE0900X
Additional Specialty
Enterostomal Therapy Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.