IndividualActive
Jared Keck, PMHNP-BC
NPI 1396453197 · Psychiatric/Mental Health Nurse Practitioner · Purcell, OK
Provider details
- NPI number
- 1396453197
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- Yes
- License
- C-APN.0103510-C-NP (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
21374 Bryant Ave
Purcell, OK 73080-4441
Phone: (405) 990-8624
Approximate (ZIP-level) locationGet directions
Mailing address
21374 Bryant Ave
Purcell, OK 73080-4441
Additional practice locations (1)
- 1402 N Florence Ave Ste BClaremore, OK 74017-3159Phone: (918) 608-0380Fax: (209) 425-5727
Registry dates
- Enumerated
- 2022-11-10
- Last updated
- 2026-04-22
- Certified
- 2026-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.