Individual
MS. KEISHA JANINE PROVIDENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2050 SEWARD AVE APT 9D, BRONX, NY 10473-2141
(917) 359-5934
Mailing address
2050 SEWARD AVE APT 9D, BRONX, NY 10473-2141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
359550
NY
Other
Enumeration date
07/30/2026
Last updated
07/30/2026
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