Healthcare Provider Details

I. General information

NPI: 1265381859
Provider Name (Legal Business Name): CLAIRE E JEFFERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 3RD AVE
ROCK ISLAND IL
61201-8840
US

IV. Provider business mailing address

2200 3RD AVE
ROCK ISLAND IL
61201-8840
US

V. Phone/Fax

Practice location:
  • Phone: 309-779-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.129482
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number137518
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: