| Doctor Name: | JENNIFER L KEPLIN |
| NPI Number: | 1275715682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP-BC |
| License Number: | R27194 |
| Business Practice Address: | 1015 Hospital Rd. Suite A Belcourt, ND - 58316 |
| Business Phone Number: | 7014770458 |
| Business Fax Number: | 7014770488 |
| Mailing Address: | Po Box 1149, BELCOURT |
| State: | ND |
| Postal Code: | 583161149 |
| Phone Number: | 7014770458 |
| Fax Number: | 7014770488 |
| NPI Enumeration Date: | 11/28/2007 |
| NPI Last Update Date: | 04/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R27194 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |