Individual
JESSICA LYNN POLK KEEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
201 N BREAZEALE AVENEUE, MOUNT OLIVE, NC 28349-8978
(919) 658-4954
Mailing address
104 ARENDALE DR, GOLDSBORO, NC 27530-8237
(804) 240-6719
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
271577
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
5017225
NC
Other
Enumeration date
04/13/2020
Last updated
08/07/2025
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