JARED NILE SETH KECK PMHNP-BC NPI 1396453197

NPI Information

  • NPI: 1396453197
  • Provider Name: JARED NILE SETH KECK, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 21374 BRYANT AVE
    PURCELL, OK
    ZIP 73080
  • Phone: (405) 990-8624

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NPI Details

Jared Nile Seth Keck, PMHNP-BC is a psychiatric/mental health nurse practitioner in Purcell, OK. Jared Nile Seth Keck, PMHNP-BC NPI is 1396453197. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21374 BRYANT AVE
PURCELL, OK
ZIP 73080-441
Phone: (405) 990-8624

The NPI 1396453197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2022 and was last updated on 5/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health210944OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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