Provider Demographics
NPI:1003708363
Name:SLAUGENHAUPT, KEILANI JAILYNN (CRNP)
Entity type:Individual
Prefix:
First Name:KEILANI
Middle Name:JAILYNN
Last Name:SLAUGENHAUPT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 ROUTE 208
Mailing Address - Street 2:
Mailing Address - City:KNOX
Mailing Address - State:PA
Mailing Address - Zip Code:16232-3034
Mailing Address - Country:US
Mailing Address - Phone:814-221-5198
Mailing Address - Fax:
Practice Address - Street 1:22681 ROUTE 68
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-4019
Practice Address - Country:US
Practice Address - Phone:814-227-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP033286363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner