| Jennifer Keim, FNP-C | |
| 
					5 Industrial Dr Ste 205, Mashpee, MA 02649-3465  | |
| (774) 552-3210 | |
| Not Available | 
| Full Name | Jennifer Keim | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 5 Industrial Dr Ste 205, Mashpee, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679228704 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F02220373 (Tennessee) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | RN2345077 (Massachusetts) | Primary | 
| Entity Name | Medical Affiliates Of Cape Cod Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1770534927 PECOS PAC ID: 3577471564 Enrollment ID: O20040510001010  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Keim, FNP-C 1185 W Mountain View Rd Apt 2104, Johnson City, TN 37604-2536 Ph: () -  | Jennifer Keim, FNP-C 5 Industrial Dr Ste 205, Mashpee, MA 02649-3465 Ph: (774) 552-3210  | 
Allegra P Mcelroy, RN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090 Fax: 508-477-7028  | |
Dianne Wells, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Industrial Dr, Suite 100, Mashpee, MA 02649 Phone: 508-477-4282 Fax: 508-539-6134  | |
Alissa A Devito, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Industrial Dr, Suite 107, Mashpee, MA 02649 Phone: 508-539-6220 Fax: 508-539-6223  | |
Kristin Mcavoy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090  | |
Emily Elgert, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090  | |
Ms. Cheryl Ann Rothwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 Industrial Drive, Mashpee Family Medicine Suite 100, Mashpee, MA 02649 Phone: 508-477-4282 Fax: 508-539-6134  | |
Mrs. Kelsey Anne Simm, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 483b Great Neck Rd S, Mashpee, MA 02649 Phone: 508-477-6967  |