National Provider Identifier
Champaine Jayla Young
Champaine Jayla Young is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 480-4242.
Profile Overview
- NPI
- 1699149815
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- November 26, 2015
- Last Updated
- November 26, 2015
Practice Location
- 109 Monticello Pl
- Buffalo, NY 14214-2713
Phone: (716) 480-4242
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1699149815
- Entity Type
- Individual
- Last Name
- Young
- First Name
- Champaine
- Middle Name
- Jayla
- Provider Other Last Name
- Young
- Provider Other First Name
- Champaine
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 109 Monticello Pl
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2713
- Mailing Country
- US
- Mailing Phone
- (716) 480-4242
- Practice Street Address
- 109 Monticello Pl
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2713
- Practice Country
- US
- Practice Phone
- (716) 480-4242
- Enumeration Date
- November 26, 2015
- Last Updated
- November 26, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)