Individual
JESSICA ELAINE KEHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
(617) 414-5520
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2277672
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110177156A
—
MA
Enumeration date
04/23/2021
Last updated
01/04/2022
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