Individual
JENNIFER EMMA KEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(347) 272-9755
Mailing address
522 SHORE RD APT 3K, LONG BEACH, NY 11561-4554
(347) 272-9755
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432169
NY
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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