DR. CHANTELLE BRIELLE YOUNG ADABA MD, MS
NPI 1295226249
Military Health Care Provider in Jacksonville, FL
- Individual
- Female
- Military Health Care Provider
About CHANTELLE ADABA
This page provides the complete NPI Profile along with additional information for Chantelle Adaba, a provider established in Jacksonville, Florida with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1295226249 assigned on May 2018. The practitioner's primary taxonomy code is 171000000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1295226249 Verify this NPI
- Provider Name
- DR. CHANTELLE BRIELLE YOUNG ADABA MD, MS
- Other Name
- DR. CHANTELLE BRIELLE YOUNG
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 848 CANDLEBARK DR JACKSONVILLE, FL 32225
- Location Phone
- (404) 934-0077
- Mailing Address
- MAYPORT NAVAL BASE JACKSONVILLE, FL 32228
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-25-2018
- Last Update Date
- 07-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295226249, enumerated as an "individual" on May 25, 2018.
The provider is located at 848 CANDLEBARK DR JACKSONVILLE, FL 32225 and the phone number is (404) 934-0077.
Military Health Care Provider with taxonomy code 171000000X.
