Individual
BLANCHE L. KEARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, AGNP
Contact information
Practice address
4750 WATERS AVE, SUITE 202, SAVANNAH, GA 31404-6200
(912) 350-7412
(912) 350-7297
Mailing address
29 BARACO DR STE 202, SAVANNAH, GA 31419-3195
(912) 541-4095
(912) 350-7297
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN170986
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN170986
GA
363LP2300X
Primary Care Nurse Practitioner
RN170986
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
07/28/2015
Last updated
11/17/2022
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