Individual provider · Type 1 NPI
Jennifer L. Keller, APRN
Family Nurse Practitioner · Waterbury, CT
NPI number
1396362125
Active
Practice location
170 Grandview Ave Ste 1
Waterbury, CT 06708-2577
Mailing address
209 Norfolk Rd
Litchfield, CT 06759-2514
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 12.009086 (CT) |
| Registered Nurse | 163W00000X | 134738 (CT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1396362125
Jennifer L. Keller, APRN's National Provider Identifier is 1396362125, issued on Jun 27, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waterbury, CT. The record was last updated on Nov 12, 2020.