Individual provider · Type 1 NPI

Keisha Marie Young, FNP-C

Nurse Practitioner · O Fallon, IL

NPI number 1356833941 Active

Practice location

604 Pierce Blvd Ste 150
O Fallon, IL 62269-2588

Call (618) 222-9244 Map

Mailing address

PO Box 955534
St. Louis, MO 63195-5534

Other practice locations

  • 1296 Jeffco Blvd, Arnold, MO 63010-2138 · (636) 321-8600
  • 1035 Bellevue Ave Ste 400, Richmond Heights, MO 63117-1844 · (314) 925-4700
  • 8670 Big Bend Blvd Ste A, Webster Groves, MO 63119-3839 · (314) 447-1900

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X2018005309 (MO)
Nurse Practitioner Primary 363L00000X209017366 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1356833941

Keisha Marie Young, FNP-C's National Provider Identifier is 1356833941, issued on May 31, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in O Fallon, IL. The record was last updated on Jul 10, 2023.