Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JERRAI ROCHELLE YOUNG LMHC, PMHNP-BC
NPI 1275140170
Nurse Practitioner - Psychiatric/Mental Health in Graceville, FL

Active since September 25, 2020
5111 GALLOWAY RD, GRACEVILLE, FL 32440(850) 209-0416 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 18, 2026, Jul 9, 2026, May 8, 2026 and 2 more (5 updates tracked since 2020).

About Jerrai Rochelle Young Lmhc, Pmhnp-bc NPPES

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

JERRAI ROCHELLE YOUNG LMHC, PMHNP-BC (NPI 1275140170) is an individual psychiatric/mental health provider in Graceville, Florida, licensed in Florida (11046193) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1275140170
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJERRAI ROCHELLE YOUNGCredential: LMHC, PMHNP-BC
Location Address5111 GALLOWAY RDGraceville, FL 32440-4309
Mailing Address5111 Galloway RdGraceville, FL 32440-4309 · (850) 209-0416
Sole ProprietorNo
Enumeration DateSeptember 25, 2020
Last NPPES UpdateAugust 18, 20265 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1275140170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11046193
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 15895 (FL)
5111 GALLOWAY RD, Graceville, FL 32440

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 Jerrai Young's NPI number?

The NPI number for Jerrai Young is 1275140170. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Jerrai Young located?

Jerrai Young practices at 5111 Galloway Rd, Graceville, FL 32440. The listed phone number is (850) 209-0416.

What is Jerrai Young's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jerrai Young was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.