YOUNG MEDICAL CLINIC LLC
NPI 1053677377
Nurse Practitioner - Family in De Queen, AR

Q: What is Young Medical Clinic LLC's NPI number?

The NPI number for Young Medical Clinic LLC is 1053677377. It was assigned to this organization in the NPPES registry on April 11, 2012.

Q: What is Young Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since April 11, 2012

1302 W COLLIN RAYE DR STE A, DE QUEEN, AR 71832(870) 642-4730(870) 381-7273 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Young Medical Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUNG MEDICAL CLINIC LLC (NPI 1053677377) is a healthcare organization registered as a family in De Queen, Arkansas and active in the NPI registry since April 2012. The organization lists Daniel Young, President, as its authorized official.

NPPES Registry Identity

NPI1053677377

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameYOUNG MEDICAL CLINIC LLC

Location Address1302 W COLLIN RAYE DR STE ADe Queen, AR 71832-2588

Mailing Address1302 W Collin Raye Dr Ste ADe Queen, AR 71832-2588 · (870) 642-4730 · Fax (870) 381-7273

Phone(870) 642-4730

Fax(870) 381-7273

Organization SubpartNo

Authorized OfficialDaniel YoungPresident · (870) 642-4730

Enumeration DateApril 11, 2012

Last NPPES UpdateJune 5, 2012

✔ NPI 1053677377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

1302 W COLLIN RAYE DR STE A, De Queen, AR 71832

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Young Medical Clinic LLC's NPI number?

The NPI number for Young Medical Clinic LLC is 1053677377. It was assigned to this organization in the NPPES registry on April 11, 2012.

Where is Young Medical Clinic LLC located?

Young Medical Clinic LLC is located at 1302 W Collin Raye Dr Ste A, De Queen, AR 71832. The listed phone number is (870) 642-4730.

What is Young Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Young Medical Clinic LLC was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.