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

Marietta Grace Young

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871122580

Marietta Grace Young is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2020.

Licensed in
MS
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence T-4084 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871122580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2020
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address2500 N State St, Jackson, MS 39216-4500

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