Keller, Jennifer E.

Keller, Jennifer E. is an individual health care provider with primary practice located at 1252 N 22Nd St Unit A , Laramie WY 82072. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Keller, Jennifer E. can be contacted via phone (307) 745-5364.

Contact Information

Primary practice address
1252 N 22Nd St Unit A Laramie WY 82072
Phone: (307) 745-5364
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 336651808 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 33665.1808 Wyoming

Profile Details

NPI number 1639586209
LBN Legal business name Keller, Jennifer E.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2014
Last updated Jan 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639586209 NPPES
Wyoming Other 33665.1808 WYOMING STATE BOARD OF NURSING

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