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Individual

JENNIFER KEIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
5 INDUSTRIAL DR STE 205, MASHPEE, MA 02649-3465
(774) 552-3210
Mailing address
1185 W MOUNTAIN VIEW RD APT 2104, JOHNSON CITY, TN 37604-2536

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F02220373
TN
363LF0000X
Family Nurse Practitioner
Primary
RN2345077
MA

Other

Enumeration date
02/17/2022
Last updated
11/17/2023
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