Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB KEATON
ActiveJACOB KEATON is a Child & Adolescent Psychiatric Nurse healthcare provider located in LEWISBURG, West Virginia. NPI 1164048229 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · LEWISBURG, WV
Registration Details
- NPI Number
- 1164048229
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 24, 2020 (6.122102712678 yrs)
- Last Updated
- Jun 24, 2020
- License
-
164W00000X (WV)
Practice Information
- Address
-
348 NORTHRIDGE DRLEWISBURG, WV, 249010010Browse WV providers · Browse ZIP 24901
- Phone
- 3046613825
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Day Training/Habilitation
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.