Individual provider · Type 1 NPI
Jaron Keough, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Pawtucket, RI
NPI number
1477197820
Active
Practice location
232 Pawtucket Ave Apt 1
Pawtucket, RI 02860-5169
Mailing address
24 Burke St
Pawtucket, RI 02861-1918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN56293 (RI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN02309 (RI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1477197820
Jaron Keough, PMHNP-BC's National Provider Identifier is 1477197820, issued on Oct 29, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pawtucket, RI. The record was last updated on Jul 10, 2025.