Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keyonta Lena Unique Chadwick, PMHNP-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063393908

Keyonta Lena Unique Chadwick, PMHNP-C is a Nurse Practitioner in Springfield, Missouri. Qualified in 2025, 1 year ago. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
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Practice location Address checks out

3023 S Fort Ave
Springfield, MO 65807-5196
Phone: (417) 324-7299
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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 2025038907 (MO)

Record details

NPI number1063393908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-C
Sole proprietorNo
NPI enumeratedSeptember 9, 2025
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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