Keegan, Nicole

Keegan, Nicole is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Keegan, Nicole can be contacted via phone (732) 222-5200.

Contact Information

Primary practice address
300 2Nd Ave Long Branch NJ 07740-6303
Phone: (732) 222-5200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 26NJ002531100 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00253100 New Jersey

Profile Details

NPI number 1164752077
LBN Legal business name Keegan, Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2009
Last updated May 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164752077 NPPES
New Jersey Other 176236YGTA MEDICARE NOVITAS

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