IndividualActive
Jacob Keaton
NPI 1164048229 · Psychiatric/Mental Health Registered Nurse · Lewisburg, WV
Provider details
- NPI number
- 1164048229
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
962 Coffman Cemetery Rd
Lewisburg, WV 24901-5629
Registry dates
- Enumerated
- 2020-06-24
- Last updated
- 2020-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.