SearchWashingtonPsychiatric/Mental Health Nurse Practitioner

Jack Keith, PMHNP

NPI 1982968210 · on the registry since 2012 · sole proprietor

Practice

Address
6102 84th Avenue Ct W
University Place, WA 98467
Phone
(360) 870-5411
Fax
(888) 414-8151
Organisation at this address
Mindful Mental Health, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Psychiatric/Mental Health Nurse Practitioner
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington