Individual
KELLY LYNNE HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, PMHNP-BC
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 271-3554
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402731
NY
Other
Enumeration date
07/09/2019
Last updated
04/04/2022
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