Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE D KECK
ActiveFamily Nurse Practitioner · DIXON, IL
Registration Details
- NPI Number
- 1326411539
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 10, 2015 (10.47224479571 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
209013552 (IL)209-013552 (IL)
Practice Information
- Address
-
841 N GALENA AVESUITE 200DIXON, IL, 610211568Browse IL providers · Browse ZIP 61021
- Phone
- 8152852273
- Fax
- 8152852276
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in DIXON, IL
| Name | Credential | NPI |
|---|---|---|
| KRISTINA KAY MERSHON | — | 1104287630 |
| BRIDGETTE ANN WOODALL | NP-C | 1558718650 |
| AUDRA DANIELLE WASHO | APN | 1063938413 |
| TAYLOR B CARROLL | APRN, CNP | 1578048377 |
| SARA LEE FORDHAM | — | 1871141465 |
| MRS. ANN C LEE | FNP | 1508414756 |
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.