Individual provider · Type 1 NPI

Keisha Daun Heivly, CRNP

Nurse Practitioner · Montoursville, PA

NPI number 1689556920 Active

Practice location

900 Plaza Dr
Montoursville, PA 17754-2448

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP033331 (PA)

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 1689556920

Keisha Daun Heivly, CRNP's National Provider Identifier is 1689556920, issued on Jul 25, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Montoursville, PA. The record was last updated on Jul 25, 2025.