Individual provider · Type 1 NPI
Jacob Keaton
Psychiatric/Mental Health Registered Nurse · Lewisburg, WV
NPI number
1164048229
Active
Practice location
348 Northridge Dr
Lewisburg, WV 24901-0010
Mailing address
962 Coffman Cemetery Rd
Lewisburg, WV 24901-5629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assistant Behavior Analyst | 106E00000X | None listed |
| Day Training/Habilitation Specialist | 373H00000X | None listed |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 164W00000X (WV) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1164048229
Jacob Keaton's National Provider Identifier is 1164048229, issued on Jun 24, 2020. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Lewisburg, WV. The record was last updated on Jun 24, 2020.