Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Jade Young, FNP-C

Individual provider Family Nurse Practitioner · NPI 1336090190

Jacqueline Jade Young, FNP-C is a Nurse Practitioner in Provo, Utah. Qualified in 2025, 1 year ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
1
Licensed in
UT
In the registry since
2026
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1055 N 500 W Bldg C
Provo, UT 84604-3305
Phone: (920) 903-4555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13344666-4405 (UT)
Registered Nurse Taxonomy 163W00000X · Licence 13344666-3102 (UT)

Record details

NPI number1336090190
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2026
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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