Jasmine Young
Nurse Practitioner (Psychiatric/Mental Health)

Address: 1640 Powers Ferry Rd Se Ste 330, Marietta, GA 30067-5491
Phone: 6788310608

Jasmine Young (NPI# 1912460601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1912460601
Entity Type Individual
Full Name Jasmine Young
Credential PMHNP-BC
Gender Female
Practice Address 1640 Powers Ferry Rd Se Ste 330
Marietta
GA 30067-5491
Practice Telephone 6788310608
Mailing Address 1640 Powers Ferry Rd Se Ste 330
Marietta
GA 30067-5491
Mailing Telephone 6788310608
Mailing Fax Number 6788310564
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2019-04-09
Last Update Date 2019-08-02

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LP0808X Nurse Practitioner · Psychiatric/Mental Health Physician Assistants & Advanced Practice Nursing Providers 160628 GA

Providers with the same name

NPI Name Taxonomy Address Enumeration
1174141949 Jasmine Brooke Young Home Health Aide 435 Canton St, Youngstown, OH 44502-2003 2020-07-08
1083107791 Jasmine Kathleen Young Social Worker 807 Amity Ave, Muskegon, MI 49442-2117 2018-06-08
1326577768 Jasmine Ciera Young Occupational Therapy Assistant 1392 Willow Wind Dr, Clermont, FL 34711 2017-06-08
1174998991 Jasmine Young Counselor 128 E Olin Ave Ste 100, Madison, WI 53713-1467 2015-12-04
1457828931 Jasmine Young Community Health Worker 1 Ormond Blvd Ste B, La Place, LA 70068-3760 2018-11-01
1740784479 Jasmine Young Behavior Technician 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 2018-03-19
1013445832 Jasmine Young Counselor 14 Health Services Dr, Dekalb, IL 60115-9637 2017-05-24
1083033351 Jasmine Young Hospitalist 5 Tampa General Cir # 750, Tampa, FL 33606 2014-04-15
1578828570 Jasmine Young Home Health Aide 7506 Georgia Ave Nw, Washington, DC 20012-1608 2012-07-06
1285863415 Jasmine Charlette Young Social Worker 180 Livingston St, Brooklyn, NY 11201-5861 2009-07-09
Find all providers with the same name

Physician Overview

NPI 1912460601
PAC ID by PECOS 1355674912
Professional Enrollment ID I20190613000966
Full Name Jasmine Young
Organization Legal Name PERSONAL RECOVERY NETWORK LLC
Phone Number 6788310608
Gender F
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5092611384
Number of Group Practice Members 75
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194358754 Beatrice Odero Nurse Practitioner 3727 Mill Lake Dr, Marietta, GA 30060-6273 2020-02-21
1407402910 Augusta Williams Nurse Practitioner Attn: Augusta Williams, 2131 Kingston Court Suite 108, Marietta, GA 30067-8929 2019-08-12
1134460207 Ganielle Hooper Nurse Practitioner 2551 Roswell Rd Ste 420, Marietta, GA 30062-4761 2013-03-13
1710595988 Chinwe Okafor Nurse Practitioner 1277 Kennestone Cir, Marietta, GA 30066-6029 2020-07-14
1497372080 Trisha Leigh Bail Nurse Practitioner 207d Colegate Dr, Marietta, OH 45750-2363 2020-06-29
1720543432 Lacy Marie Workman Nurse Practitioner 401 Matthew St, Marietta, OH 45750-1635 2019-02-06
1598240822 Maima Fortune Nurse Practitioner 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 2018-10-02
1538662622 Lorna Brown Nurse Practitioner 1825 County Services Pkwy Sw, Marietta, GA 30008 2018-03-14
1295275949 Tanya Camiela Dunkley Nurse Practitioner 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 2017-02-28
1619216892 Rena Loraine Castlin Nurse Practitioner 400 Tower Rd Ne, Suite 350, Marietta, GA 30060-9411 2013-02-07
Find all providers in MARIETTA

Office Location

Street Address 1640 POWERS FERRY RD SE STE 330
City MARIETTA
State GA
Zip Code 30067-5491

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801208145 Hardie Calvert Tatman Nurse Practitioner 1640 Powers Ferry Rd Se Ste 330, Marietta, GA 30067-5491 2014-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689140022 Sherry Wilson King Marriage & Family Therapist 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 2018-10-23
1053886861 Precious Angel Home Care Services Inc Adult Companion 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 2018-10-08
1194206466 Joshua P Moree Chiropractor 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 2018-08-24
1841778081 Sun Pediatrics LLC Pediatrics 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 2018-07-31
1508358714 Mbs Wellness Group, LLC Durable Medical Equipment & Medical Supplies 62 Shawnee Trail Se, Marietta, GA 30067 2018-06-04
1497254213 Allison M Jancik Chiropractor 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 2018-02-07
1801304969 Danielle Ann Dietrich Chiropractor 805 Winterset Pkwy Se, Marietta, GA 30067 2018-01-11
1740794866 Jessica Lofgren Chiropractor 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 2017-11-28
1871026393 Rhonda Dawes Milner Counselor 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 2017-04-11
1457894537 Carcelia Delk Counselor 1110 Augusta Dr Se, Marietta, GA 30067 2016-11-22
Find all providers in zip 30067

Competitor

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City MARIETTA
Zip Code 30067

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.