BLANCHE L. KEARLEY RN BSN AGNP NPI 1871978148

NPI Information

NPI: 1871978148
Provider Name: BLANCHE L. KEARLEY, RN, BSN, AGNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4750 WATERS AVE
SUITE 202
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-7412
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Blanche L. Kearley, RN, BSN, AGNP is a gerontology nurse practitioner in Savannah, GA with 9 years of experience. Blanche L. Kearley, RN, BSN, AGNP NPI is 1871978148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4750 WATERS AVE
SUITE 202
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 350-7412
Fax: (912) 350-7297

The NPI 1871978148 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2015 and was last updated on 11/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		RN170986	GEORGIA	No
2	363LP2300X	Nurse Practitioner	Primary Care	RN170986	GEORGIA	No
3	363LG0600X	Nurse Practitioner	Gerontology	RN170986	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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