NPI 1023972536

Jonathan Brandon Young, BPSCPRS

Practitioner Peer Specialist Medina, TN

Practice location

Address: 50 Annie Russ Rd, Medina, TN 38355-9743
Phone: (737) 314-3153

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 000-1828 (TN)

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Registry record

NPI: 1023972536
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Dec 2025
Record last updated: 10 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.