Keller, Jennifer M

Keller, Jennifer M is an individual health care provider with primary practice located at 10 Gove St , East Boston MA 02128-1920. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Keller, Jennifer M can be contacted via phone (617) 569-5800.

Contact Information

Primary practice address
10 Gove St East Boston MA 02128-1920
Phone: (617) 569-5800
Fax: (617) 568-4780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 194607 Massachusetts

Profile Details

NPI number 1710926837
LBN Legal business name Keller, Jennifer M
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1710926837 NPPES
Massachusetts MEDICAID 0345270

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