| Doctor Name: | JESIKA MARIE YOUNG |
| NPI Number: | 1104213040 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 107 S High St Antlers, OK - 745233818 |
| Business Phone Number: | 5802982830 |
| Business Fax Number: | 5802986723 |
| Mailing Address: | Po Box 1030, ANTLERS |
| State: | OK |
| Postal Code: | 745231030 |
| Phone Number: | 5802982830 |
| Fax Number: | 5802986723 |
| NPI Enumeration Date: | 04/17/2015 |
| NPI Last Update Date: | 04/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Health Educator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor |