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Individual
JESSICA KEASTER
Active
Individual
JESSICA KEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
102341
OK
163W00000X
Registered Nurse
R087203
AR
363L00000X
Nurse Practitioner
Primary
102341
OK
Other
Enumeration date
11/10/2015
Last updated
10/13/2021
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