MS. JALENA CAMILLE KEITH (NPI# 1467998682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467998682 |
| Entity Type | Individual |
| Full Name | MS. JALENA CAMILLE KEITH |
| Credential | FNP-BC |
| Practice Address |
1620 President Ave Fall River MA 02722 |
| Mailing Address |
205 Manchester St Boston MA 02126-2825 |
| Practice Telephone | 5086722403 |
| Mailing Telephone | 6173669011 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2018-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN2274052 | MA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN2274052 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1620 PRESIDENT AVE |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942309398 | Cvs Pharmacy Inc | Pharmacy | 1620 President Ave, Fall River, MA 02720-7148 | 2006-09-22 |
| 1750936779 | Shannon Anne Kramarz | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-08-06 |
| 1952955023 | Kaneisha Rae Deburgo | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-07-27 |
| 1912563859 | Lauren Ann Kane | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-05-16 |
| 1063974368 | Rebecca Lynn Smith | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-04-04 |
| 1114481462 | Kaitlin Renault | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-01-30 |
| 1962971952 | Lauren Elizabeth Farmer | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2018-11-19 |
| 1093204810 | Belsy Vanessa Gonzalez-galarza | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2018-05-07 |
| 1124531868 | Laurette Mangan | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2017-11-15 |
| 1235655929 | Kendra Justine Martin | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2017-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952829921 | Wendy Bernadette Morrow | Nurse Practitioner | 277 Pleasant Street, Fall River, MA 02722 | 2017-08-30 |
| 1417337908 | Jessica Moniz Goulart | Nurse Practitioner | 289 Pleasant St, Fall River, MA 02722 | 2015-06-01 |
| 1225359052 | Qian Zhao | Internal Medicine | 277 Pleasant St., Prima Care, P.C., Fall River, MA 02722-1070 | 2010-06-16 |
| 1932430592 | Majid Hussain Dudha | Internal Medicine | 277 Pleasant Street Box 1070, Prima Care P.C., Fall River, MA 02722-1070 | 2010-01-21 |
| 1770906372 | Bijay K Yadav | Internal Medicine | 277 Pleasant Street., Prima Care, PC, Fall River, MA 02722-1070 | 2014-02-03 |
| 1629277454 | Fabian Delgado | Internal Medicine | 277 Pleasant Street, Fall River, MA 02722-3005 | 2007-07-12 |
| 1801018999 | City of Fall River Mass | Non-Pharmacy Dispensing Site | 1 Government Ctr, Room 431, Fall River, MA 02722-7700 | 2007-05-02 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427390301 | Mildrine Tulysse | Nurse Practitioner | 58 Arch St, Fall River, MA 02724-2722 | 2013-03-19 |
| 1023648516 | Stacey Almeida | Nurse Practitioner | 386 Stanley St, Fall River, MA 02720-6009 | 2020-01-23 |
| 1972141232 | Zivile Harrington | Nurse Practitioner | 277 Pleasant St Ste 202, Fall River, MA 02721-3005 | 2019-12-18 |
| 1215571864 | Jakob Thomas | Nurse Practitioner | 400 Stanley St, Fall River, MA 02720-6009 | 2019-11-06 |
| 1750936779 | Shannon Anne Kramarz | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-08-06 |
| 1952955023 | Kaneisha Rae Deburgo | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-07-27 |
| 1912563859 | Lauren Ann Kane | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-05-16 |
| 1063974368 | Rebecca Lynn Smith | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-04-04 |
| 1114481462 | Kaitlin Renault | Nurse Practitioner | 1620 President Ave, Fall River, MA 02720-7148 | 2019-01-30 |
| 1912479767 | Sarah Elizabeth Moniz | Nurse Practitioner | 1565 N Main St Ste 306, Fall River, MA 02720-2972 | 2018-12-18 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02722 |
Please comment or provide details below to improve the information on MS. JALENA CAMILLE KEITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.