Young, Keisha Marie

Young, Keisha Marie is an individual health care provider with primary practice located at 604 Pierce Blvd Ste 150 , O Fallon IL 62269-2588. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Young, Keisha Marie can be contacted via phone (618) 222-9244.

Contact Information

Primary practice address
604 Pierce Blvd Ste 150 O Fallon IL 62269-2588
Phone: (618) 222-9244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2018005309 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017366 Illinois

Profile Details

NPI number 1356833941
LBN Legal business name Young, Keisha Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2018
Last updated Jul 10th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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