Jaclyn Keegan
Registered Nurse, Lactation Consultant in Pleasant Ridge, MI. Individual provider (NPI-1).
NPI number1295558740
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1295558740
- Entity type
- Individual (NPI-1)
- Name
- Jaclyn Keegan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 4, 2024
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WL0100X | Registered Nurse, Lactation Consultant | 4704308999 | MI | Yes |
Practice location
23 Maywood AvePleasant Ridge, MI 48069-1232
Phone 760-209-4067
Mailing address
23 Maywood AvePleasant Ridge, MI 48069-1232
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