Jacquelyn Keegan
Nurse Practitioner - Pediatrics
4650 W Sunset Blvd # 54
Los Angeles
, California 90027-6062
Jacquelyn Keegan
Nurse Practitioner - Pediatrics
4650 W Sunset Blvd # 54
Los Angeles
, California 90027-6062
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jacquelyn Keegan
- 4650 W Sunset Blvd # 54
- Los Angeles, CA
- Zip : 90027-6062
- Phone :
Second Address
- Jacquelyn Keegan
- 4650 W Sunset Blvd # 54
- Los Angeles, CA
- Zip : 90027-6062
- Phone : (323) 361-4141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 22462 | CA |
National Provider Identifier
| NPI | 1003235748 |
|---|---|
| Provider Name | Jacquelyn Keegan |
| First Address | Los Angeles, CA 90027-6062 |
| Second Address | Los Angeles, CA 90027-6062 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2014 |
| Last Update Date | 15/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.