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General NPI Number Information
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NPI Number | 1003149329
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Entity Type | Individual
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Provider Name | MONICA NASSIM JEFFERS NMD, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/18/2009
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 1732 E SHEENA DR
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City | PHOENIX
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State | AZ
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Zip | 85022-4564
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Country | US
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Telephone | 602-330-3420
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Fax |
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Provider Business Mailing Address
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Address Line | 1 EMBARCADERO CTR STE 1900
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3723
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Country | US
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Telephone | 888-663-6331
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4657
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN127166
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 08-1091
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95037468
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License Number State | CA
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