KEISHA MARIE YOUNG

O FALLON, IL
NPI1356833941
Former NameKEISHA MARIE JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209017366)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: MO  2018005309)
Enumeration Date2018-05-31
Last Update Date2023-07-10
Business Address
MRS. KEISHA MARIE YOUNG FNP-C
604 PIERCE BLVD STE 150
O FALLON, IL 62269-2588
Phone number: 618-222-9244
Mailing Address
MRS. KEISHA MARIE YOUNG FNP-C
PO BOX 955534
SAINT LOUIS, MO 63195-5534
Phone number: