Active NPIIndividual provider

Jessica L Keough, NP

Nurse Practitioner in North Dartmouth, Massachusetts

NPI Number1356902761
Practice location
480 Hawthorn St, North Dartmouth, MA 02747-3729
Fax
508-973-9155
Last updated
April 22, 2020

Jessica Lynn Keough is a Nurse Practitioner based in North Dartmouth, MA. Jessica Lynn Keough practices in North Dartmouth, MA and has the professional credentials of NP. The NPI Number for Jessica Lynn Keough is 1356902761 and holds a License No. RN2262285 (MA). The current practice location address for Jessica Lynn Keough is 480 Hawthorn St, North Dartmouth, MA 02747-3729 and can be reached out via phone at 508-973-9150 and via fax at 508-973-9155.

Provider Profile Details

NPI Number
1356902761
Provider Name
Jessica Lynn Keough
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
480 Hawthorn St, North Dartmouth, MA 02747-3729
Phone Number
508-973-9150
Fax Number
508-973-9155
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2019
Last Update Date
April 22, 2020
Certification Date
April 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
480 Hawthorn St
North Dartmouth, MA 02747-3729
Zip
02747-3729
Phone Number
508-973-9150
Fax Number
508-973-9155
North Dartmouth, MA 02747Get directions →

Provider Business Mailing Address Details

Address
200 Mill RD Ste 180
Fairhaven, MA 02719-5255
City
Fairhaven
State
MA
Zip
02719-5255
Phone Number
508-973-2000
Fax Number
508-973-7669

License Information

License Number
RN2262285
License State
MA
Taxonomy
Nurse Practitioner · 363L00000X · 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 Jessica L Keough, NP?

The NPI number of Jessica L Keough, NP is 1356902761. It was assigned on June 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Jessica L Keough, NP?

Jessica L Keough, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2262285.

Where does Jessica L Keough, NP practice?

The practice location is 480 Hawthorn St, North Dartmouth, MA 02747-3729. The office can be reached at 508-973-9150 (phone) or 508-973-9155 (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 1356902761 directly on the NPPES registry website.

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