Provider Demographics
NPI:1558678235
Name:KEARNEY, JULIANNE N (CRNP)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:N
Last Name:KEARNEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 STATE ST
Mailing Address - Street 2:
Mailing Address - City:CURWENSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16833-1123
Mailing Address - Country:US
Mailing Address - Phone:814-765-1100
Mailing Address - Fax:888-217-9837
Practice Address - Street 1:551 STATE ST
Practice Address - Street 2:
Practice Address - City:CURWENSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16833-1123
Practice Address - Country:US
Practice Address - Phone:814-765-1100
Practice Address - Fax:888-217-9837
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP026756363LP0808X
PARN605928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse