Mr. Jack Keller, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Canton, Massachusetts
1356754931- Practice location
- 340 Turnpike St, Canton, MA 02021-2700
- Phone
- 781-619-1500
- Fax
- 781-619-1509
- Last updated
- August 28, 2026
Jack Keller is a Nurse Practitioner, Psych/Mental Health based in Canton, MA. Jack Keller practices in Canton, MA and has the professional credentials of PMHNP-BC. The NPI Number for Jack Keller is 1356754931 and holds a License No. RN10017560 (MA). The current practice location address for Jack Keller is 340 Turnpike St, Canton, MA 02021-2700 and can be reached out via phone at 781-619-1500 and via fax at 781-619-1509.
Provider Profile Details
- NPI Number
- 1356754931
- Provider Name
- Jack Keller
- Credential
- PMHNP-BC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 340 Turnpike St, Canton, MA 02021-2700
- Phone Number
- 781-619-1500
- Fax Number
- 781-619-1509
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 11, 2014
- Last Update Date
- August 28, 2026
- Certification Date
- August 28, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 340 Turnpike St
Canton, MA 02021-2700 - City
- Canton
- State
- Massachusetts
- Zip
- 02021-2700
- Phone Number
- 781-619-1500
- Fax Number
- 781-619-1509
Provider Business Mailing Address Details
- Address
- 340 Turnpike St
Canton, MA 02021-2700 - City
- Canton
- State
- MA
- Zip
- 02021-2700
- Phone Number
- 781-619-1500
- Fax Number
- 781-619-1509
License Information
- License Number
- RN10017560
- License State
- MA
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Jack Keller, PMHNP-BC?
The NPI number of Mr. Jack Keller, PMHNP-BC is 1356754931. It was assigned on June 11, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Jack Keller, PMHNP-BC?
Mr. Jack Keller, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN10017560.
Where does Mr. Jack Keller, PMHNP-BC practice?
The practice location is 340 Turnpike St, Canton, MA 02021-2700. The office can be reached at 781-619-1500 (phone) or 781-619-1509 (fax).
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 1356754931 directly on the NPPES registry website.