Killeen, Judith Ann

Killeen, Judith Ann is an individual health care provider with primary practice located at 1127 16Th Ave S , Jacksonville Beach FL 32250. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Killeen, Judith Ann can be contacted via phone (904) 247-7778.

Contact Information

Primary practice address
1127 16Th Ave S Jacksonville Beach FL 32250
Phone: (904) 247-7778
Fax: (904) 247-9461
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X ARNP1791762 Florida

Profile Details

NPI number 1427025790
LBN Legal business name Killeen, Judith Ann
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2006
Last updated Dec 28th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427025790 NPPES
Florida Other 34436 MEDICARE GROUP #

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