| Doctor Name: | MS. JENNIFER ELLEN YOUNG |
| NPI Number: | 1093063380 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSM, PA-C |
| License Number: | PA07823 |
| Business Practice Address: | 2301 S Clear Creek Rd Ste 206 Killeen, TX - 765494119 |
| Business Phone Number: | 2546285454 |
| Business Fax Number: | 2546282729 |
| Mailing Address: | 1700 University Blvd Apt 1424, ROUND ROCK |
| State: | TX |
| Postal Code: | 786658029 |
| Phone Number: | 6155137804 |
| Fax Number: | |
| NPI Enumeration Date: | 08/17/2012 |
| NPI Last Update Date: | 08/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA07823 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |