Healthcare Provider Details

I. General information

NPI: 1821973785
Provider Name (Legal Business Name): SARAH JEAN KECK CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH JEAN MCCARTER

II. Dates (important events)

Enumeration Date: 08/09/2025
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 N DUKE ST STE 244
LANCASTER PA
17602-2374
US

IV. Provider business mailing address

553 E HIGH ST
ELIZABETHTOWN PA
17022-1812
US

V. Phone/Fax

Practice location:
  • Phone: 717-826-9770
  • Fax:
Mailing address:
  • Phone: 717-808-1995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP033363
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: