IndividualActive
Jennifer Keomanyvong
NPI 1679146807 · Registered Nurse · Green Bay, WI
Jennifer Keomanyvong is a Registered Nurse provider in Green Bay, WI (NPI 1679146807).
Provider details
- NPI number
- 1679146807
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 261745-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2357 W Mason St
Green Bay, WI 54303-4708
Phone: (920) 337-6740
Street-level locationGet directions
Mailing address
2357 W Mason St
Green Bay, WI 54303-4708
Registry dates
- Enumerated
- 2021-07-24
- Last updated
- 2021-07-24
- Certified
- 2021-07-24
Frequently asked questions
- What is Jennifer Keomanyvong's NPI number?
- Jennifer Keomanyvong's National Provider Identifier (NPI) is 1679146807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Keomanyvong's specialty?
- Jennifer Keomanyvong is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Jennifer Keomanyvong located?
- Jennifer Keomanyvong's practice location on file with NPPES is 2357 W Mason St, Green Bay, WI 54303-4708.
- What is Jennifer Keomanyvong's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Keomanyvong is (920) 337-6740.
- Is Jennifer Keomanyvong's NPI active?
- Yes — Jennifer Keomanyvong's NPI (1679146807) is active in the NPPES registry as of the last update on 2021-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.