Jessica Kethley, NP-C
Nurse Practitioner, Family in Red Bank, New Jersey
1598344095- Practice location
- 333 Broad St, Red Bank, NJ 07701-2178
- Phone
- 732-852-2770
- Fax
- —
- Last updated
- May 6, 2021
Jessica Kethley is a Nurse Practitioner, Family based in Red Bank, NJ. Jessica Kethley practices in Red Bank, NJ and has the professional credentials of NP-C. The NPI Number for Jessica Kethley is 1598344095 and holds a License No. 26NJ01136100 (NJ). The current practice location address for Jessica Kethley is 333 Broad St, Red Bank, NJ 07701-2178 and can be reached out via phone at 732-852-2770.
Provider Profile Details
- NPI Number
- 1598344095
- Provider Name
- Jessica Kethley
- Credential
- NP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 333 Broad St, Red Bank, NJ 07701-2178
- Phone Number
- 732-852-2770
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 3, 2021
- Last Update Date
- May 6, 2021
- Certification Date
- May 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 333 Broad St
Red Bank, NJ 07701-2178 - City
- Red Bank
- State
- New Jersey
- Zip
- 07701-2178
- Phone Number
- 732-852-2770
Provider Business Mailing Address Details
- Address
- 828 Somerset Dr
Toms River, NJ 08753-5615 - City
- Toms River
- State
- NJ
- Zip
- 08753-5615
- Phone Number
- 732-678-8510
License Information
- License Number
- 26NJ01136100
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · 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 Jessica Kethley, NP-C?
The NPI number of Jessica Kethley, NP-C is 1598344095. It was assigned on April 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Jessica Kethley, NP-C?
Jessica Kethley, NP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ01136100.
Where does Jessica Kethley, NP-C practice?
The practice location is 333 Broad St, Red Bank, NJ 07701-2178. The office can be reached at 732-852-2770 (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 1598344095 directly on the NPPES registry website.