| Jill Allison Young, CNM | |
|
1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 | |
| (863) 284-6860 | |
| (863) 688-7959 |
| Full Name | Jill Allison Young |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 1525 Lakeland Hills Blvd, Lakeland, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760861538 | NPI | - | NPPES |
| 015014000 | Medicaid | FL | |
| ARNP9181902 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | APRN9181902 (Florida) | Primary |
| 176B00000X | Midwife | APRN9181902 (NU) | Secondary |
| Entity Name | Lakeland Regional Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497748743 PECOS PAC ID: 8325952914 Enrollment ID: O20031118000384 |
| Entity Name | Florida Hospital Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174955256 PECOS PAC ID: 2365679057 Enrollment ID: O20131231000600 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Allison Young, CNM 215 Imperial Blvd Ste B2, Lakeland, FL 33803-4689 Ph: (813) 684-2229 | Jill Allison Young, CNM 1525 Lakeland Hills Blvd, Lakeland, FL 33805-3203 Ph: (863) 284-6860 |
Carolyn M Reneau, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1729 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-940-2908 Fax: 863-940-4722 |
Mrs. Mickelyn Graves Houghton, APRN-CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1129 N Missouri Ave, Lakeland, FL 33805 Phone: 866-234-8534 |
Dr. Jacob Matthew Mearse, DNP, CNM, PMHNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1129 N Missouri Ave, Lakeland, FL 33805 Phone: 866-234-8534 |
Tammy Hatcher, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1729 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-940-2908 Fax: 813-938-6425 |
Mrs. Laura May Russell, CNM, RN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1755 N Florida Ave, Lakeland, FL 33805 Phone: 863-680-7243 Fax: 866-264-8519 |
Ms. Nicole A Madalon, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1733 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-1528 Fax: 877-669-0331 |
Ashley Nicole Payne, APRN, CNM, C-EFM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2225 E Edgewood Dr Ste 9, Lakeland, FL 33803 Phone: 863-666-7555 |