Individual
JENNIFER ALENE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 DENBIGH BLVD, NEWPORT NEWS, VA 23608-4415
(757) 534-5454
(757) 534-5190
Mailing address
101 DANIELS DR, YORKTOWN, VA 23690-3410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001230168
VA
207Q00000X
Family Medicine Physician
0024178259
VA
363LF0000X
Family Nurse Practitioner
Primary
0024178259
VA
Other
Enumeration date
09/16/2019
Last updated
09/16/2025
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