Healthcare Provider Details

I. General information

NPI: 1629868328
Provider Name (Legal Business Name): PATIENCE FIRST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9524 TWILIGHT CT
COLUMBIA MD
21046-1954
US

IV. Provider business mailing address

9524 TWILIGHT CT
COLUMBIA MD
21046-1954
US

V. Phone/Fax

Practice location:
  • Phone: 240-432-3022
  • Fax:
Mailing address:
  • Phone: 240-432-3022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH CARINA KELLY-WILLIAMS
Title or Position: OWNER
Credential: NP
Phone: 301-725-9732