Healthcare Provider Details

I. General information

NPI: 1861332397
Provider Name (Legal Business Name): DELANEY YVONNE KELLY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DELANEY YVONNE LIGHTNER NP

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 CHESSIE CROSSING WAY
WOODBINE MD
21797-8768
US

IV. Provider business mailing address

760 CHESSIE CROSSING WAY
WOODBINE MD
21797-8768
US

V. Phone/Fax

Practice location:
  • Phone: 410-255-0102
  • Fax: 410-255-0103
Mailing address:
  • Phone: 410-255-0102
  • Fax: 410-255-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberR239804
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: