MEDICARE: SCHERRY JEFFERIES

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
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1013619808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCHERRY JEFFERIES

Provider Business Mailing Address
First Line	:	11754 JOLLYVILLE RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-2460
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11754 JOLLYVILLE RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-2460
Country	:	US
Telephone Number	:	866-912-2746
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2023
Last Update Date	:	04/03/2023

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Directions to “ SCHERRY JEFFERIES ” Practice Location

Language	Start Address	Practice Location

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