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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134952419

Keyanndra Nichelle Young is a Nurse Practitioner in Oklahoma City, Oklahoma. Qualified in 2024, 2 years ago. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024
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Practice location Address checks out

3555 NW 58th St Ste 140-W
Oklahoma City, OK 73112-4707
Phone: (405) 450-7167
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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 219906 (OK)

Record details

NPI number1134952419
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2024
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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