Individual
JESSICA LYNN KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
480 HAWTHORN ST, NORTH DARTMOUTH, MA 02747-3729
(508) 973-9150
(508) 973-9155
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-7669
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2262285
MA
Other
Enumeration date
06/26/2019
Last updated
04/22/2020
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