Keightly, Judianne

Keightly, Judianne is an sole proprietor health care provider with primary practice located at 560 Riverside Dr Ste A206 , Salisbury MD 21801. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Keightly, Judianne can be contacted via phone (410) 912-5640.

Contact Information

Primary practice address
560 Riverside Dr Ste A206 Salisbury MD 21801
Phone: (410) 912-5640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP013644 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X AC002004 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AC002004 Maryland

Profile Details

NPI number 1861895955
LBN Legal business name Keightly, Judianne
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2014
Last updated Jul 31st, 2018 - about 8 years ago

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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