Individual
JESSICA KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
349 HUNTINGTON AVE, PROVIDENCE, RI 02909-3005
(401) 942-1450
Mailing address
1052 PARK AVE, CRANSTON, RI 02910-3225
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN01614
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05-0414696
—
RI
Enumeration date
11/20/2017
Last updated
11/20/2017
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