Individual
MS. JALENA CAMILLE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
19 SUMMER ST, BRIDGEWATER, MA 02324-2630
(866) 389-2727
Mailing address
19 SUMMER ST, BRIDGEWATER, MA 02324-2630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2274052
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2274052
MA
Other
Enumeration date
01/11/2017
Last updated
11/16/2020
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