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

Toshiba Young

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629870464

Toshiba Young is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2024, 2 years ago. Practices with Supportive Care of Pennsylvania LLC, a 93-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

4201 Belfort Rd
Jacksonville, FL 32216-1431
Phone: (904) 296-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN11038383 (FL)

Record details

NPI number1629870464
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address4201 Belfort Rd, Jacksonville, FL 32216-1431

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Supportive Care Of Pennsylvania Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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