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NPI Code Detail

MEDICARE: DORIS TODD JEFFERYS ANP

MEDICARE: DORIS TODD JEFFERYS ANP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner5004360NC

General Provider Information

NPI Number : 1134353758
Entity Type Code : Individual
Provider Name (Legal Business Name) : DORIS TODD JEFFERYS ANP
Provider Business Mailing Address
First Line : 3079 HALLSBORO RD N
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-6801
Country : US
Telephone Number : 910-646-3789
Fax Number :
Provider Business Practice Location Address
First Line : 614 N JK POWELL BLVD
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3008
Country : US
Telephone Number : 910-640-2611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2009
Last Update Date : 05/11/2009

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Directions to “ DORIS TODD JEFFERYS ANP” Practice Location

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