NPI 1104213040
Jesika Marie Young
Practice location
- Address
- 107 S High St, Antlers, OK 74523-3818
- Phone
- (580) 298-2830
- Fax
- (580) 298-6723
- Mailing address
- PO Box 1030, Antlers, OK 74523-1030
Registered specialties
Health Educator
Primary
Registry record
- NPI
- 1104213040
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Apr 2015
- Record last updated
- 17 Apr 2015
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.