Individual
JENNIFER M OKEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Mailing address
2100 N MAIN ST STE 304, CROWN POINT, IN 46307-1877
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28208903A
IN
363L00000X
Nurse Practitioner
4704362899
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
71009467A
IN
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0027228
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14532319
CAQH
—
Enumeration date
08/21/2019
Last updated
12/05/2024
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