Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jennifer L Keller, APRN

Individual provider Family Nurse Practitioner · NPI 1396362125

Mrs. Jennifer L Keller, APRN is a Nurse Practitioner in Waterbury, Connecticut. Qualified in 2020, 6 years ago. Practices with Prospect CT Medical Foundation Inc, a 289-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

170 Grandview Ave Ste 1
Waterbury, CT 06708-2577
Phone: (203) 759-3666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12.009086 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 134738 (CT)

Record details

NPI number1396362125
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 27, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prospect Ct Medical Foundation Inc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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