Provider Demographics
NPI:1760620934
Name:KEEFE, JOANNE M (RNCS APRN)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:M
Last Name:KEEFE
Suffix:
Gender:F
Credentials:RNCS APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:210 WHITING ST STE 5
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3724
Mailing Address - Country:US
Mailing Address - Phone:339-200-8671
Mailing Address - Fax:339-200-8034
Practice Address - Street 1:210 WHITING ST STE 5
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3724
Practice Address - Country:US
Practice Address - Phone:339-200-8671
Practice Address - Fax:339-200-8034
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN218250363LP0808X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health