Mrs. Keisha A Ballentine-Cargill
Nurse Practitioner - Family Medicine
841 Burke Ave
Bronx
, New York 10467-6619
Mrs. Keisha A Ballentine-Cargill
Nurse Practitioner - Family Medicine
841 Burke Ave
Bronx
, New York 10467-6619
(718) 652-6791
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Keisha A Ballentine-Cargill
- 1054 E 231st St
- Bronx, NY
- Zip : 10466-4806
- Phone : (718) 652-6791
Second Address
- Mrs. Keisha A Ballentine-Cargill
- 841 Burke Ave
- Bronx, NY
- Zip : 10467-6619
- Phone : (718) 654-1726
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | F338198-1 | NY |
National Provider Identifier
| NPI | 1003235284 |
|---|---|
| Provider Name | Mrs. Keisha A Ballentine-Cargill |
| First Address | Bronx, NY 10466-4806 |
| Second Address | Bronx, NY 10467-6619 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/04/2014 |
| Last Update Date | 25/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.