Jaclyn Keegan, is a
Registered Nurse - Lactation Consultant based in Pleasant Ridge, Michigan. Jaclyn Keegan is licensed to practice in Michigan (license number 4704308999) and her current practice location is
23 Maywood Ave, Pleasant Ridge, Michigan. She can be reached at her office (for appointments etc.) via phone at
(760) 209-4067.
NPI number for Jaclyn Keegan is 1295558740 and her current mailing address is 23 Maywood Ave, Pleasant Ridge, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295558740.
Provider's Profile
| Full Name | Jaclyn Keegan |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse - Lactation Consultant |
|---|
| Location | 23 Maywood Ave, Pleasant Ridge, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295558740
- Provider Enumeration Date: 11/04/2024
- Last Update Date: 11/04/2024
Medical Identifiers
Medical identifiers for Jaclyn Keegan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295558740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WL0100X | Registered Nurse - Lactation Consultant | 4704308999 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Keegan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jaclyn Keegan, 23 Maywood Ave, Pleasant Ridge, MI 48069-1232 Ph: () - | Jaclyn Keegan, 23 Maywood Ave, Pleasant Ridge, MI 48069-1232 Ph: (760) 209-4067 |
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