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NPI Code Detail

MEDICARE: BRITTANY JEFFERSON

MEDICARE: BRITTANY JEFFERSON
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
1171M00000XCase Manager/Care CoordinatorAR

General Provider Information

NPI Number : 1477189058
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY JEFFERSON
Provider Business Mailing Address
First Line : 613 RIGHTOR ST
Second Line :
City : HELENA
State : AR
Zip : 72342-3223
Country : US
Telephone Number : 870-572-1800
Fax Number :
Provider Business Practice Location Address
First Line : 613 RIGHTOR ST
Second Line :
City : HELENA
State : AR
Zip : 72342-3223
Country : US
Telephone Number : 870-572-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2020
Last Update Date : 03/16/2020

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Directions to “ BRITTANY JEFFERSON ” Practice Location

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