Active NPIIndividual provider

Nicole Keegan, NP

Nurse Practitioner, Family in Long Branch, New Jersey

NPI Number1164752077
Practice location
300 2ND Ave, Long Branch, NJ 07740-6303
Fax
—
Last updated
May 14, 2024

Nicole Keegan is a Nurse Practitioner, Family based in Long Branch, NJ. Nicole Keegan practices in Long Branch, NJ and has the professional credentials of NP. The NPI Number for Nicole Keegan is 1164752077 and holds a License No. 26NJ002531100 (NJ). The current practice location address for Nicole Keegan is 300 2ND Ave, Long Branch, NJ 07740-6303 and can be reached out via phone at 732-222-5200.

Provider Profile Details

NPI Number
1164752077
Provider Name
Nicole Keegan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
300 2ND Ave, Long Branch, NJ 07740-6303
Phone Number
732-222-5200
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 29, 2009
Last Update Date
May 14, 2024
Certification Date
May 14, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 2ND Ave
Long Branch, NJ 07740-6303
Zip
07740-6303
Phone Number
732-222-5200
Long Branch, NJ 07740Get directions →

Provider Business Mailing Address Details

Address
Po Box 62
Long Branch, NJ 07740-0062
City
Long Branch
State
NJ
Zip
07740-0062
Phone Number
908-692-9833

License Information

License Number (1)
26NJ002531100
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner · 363L00000X
License Number (2)
26NJ00253100
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Keegan, NP?

The NPI number of Nicole Keegan, NP is 1164752077. It was assigned on December 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Nicole Keegan, NP?

Nicole Keegan, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ002531100.

Where does Nicole Keegan, NP practice?

The practice location is 300 2ND Ave, Long Branch, NJ 07740-6303. The office can be reached at 732-222-5200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164752077 directly on the NPPES registry website.

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