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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427025790 | NPPES |
Florida | Other | 34436 | MEDICARE GROUP # |
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