Individual
JORDAN NICOLE KEELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(614) 743-1393
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(614) 743-1393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2348062
MA
Other
Enumeration date
06/19/2023
Last updated
11/22/2023
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