Individual provider · Type 1 NPI
Keisha Janine Providence, FNP
Nurse Practitioner · Bronx, NY
Practice location
2050 Seward Ave Apt 9D
Bronx, NY 10473-2141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 359550 (NY) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1376466086
Keisha Janine Providence, FNP's National Provider Identifier is 1376466086, issued on Jul 30, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bronx, NY. The record was last updated on Jul 30, 2026.