Mr. Jack Logan Keith Jr.
PMHNP | Nurse Practitioner - Psych/Mental Health
3857 Martin Way E, Olympia
Washington, 98506
253-581-7020
Mr. Jack Logan Keith Jr. is a Olympia, Washington based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Mr. Jack Logan Keith Jr. is AP61193548 for Psych/Mental Health in Washington. His current practice location is 3857 Martin Way E, Olympia. Patients can reach him at 253-581-7020. Mr. Jack Logan Keith Jr. is PMHNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1982968210.
Mr. Jack Logan Keith Jr. provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Jack Logan Keith Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mr. Jack Logan Keith Jr. |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Male |
| Credentials: | PMHNP |
| Practice Address: | 3857 Martin Way E, Olympia,
Washington, 98506 |
| Phone: | 253-581-7020 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1982968210 |
| NPI Enumeration Date: | 02 Jul, 2012 |
| NPI Last Update On: | 07 Dec, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jack Logan Keith Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| AP61193548 | Psych/Mental Health | Washington | Primary | |
| Counselor | | Secondary | |
| N60493722 | Registered Nurse | Washington | Secondary | |
| 202110580NP-PP | Psych/Mental Health | Oregon | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mr. Jack Logan Keith Jr.
3857 Martin Way E,
Olympia, Washington |
| Zip: | 98506 |
Patients can reach Mr. Jack Logan Keith Jr. at
3857 Martin Way E, Olympia, Washington or can
call to book an appointment on 253-581-7020.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.