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NPI Code Detail

MEDICARE: MS. JENNIFER A JEFFERS-SMITH APRN

MEDICARE: MS. JENNIFER A JEFFERS-SMITH APRN
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
1363LF0000XFamily Nurse PractitionerRN139560GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699744417
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER A JEFFERS-SMITH APRN
Provider Business Mailing Address
First Line : 1650 COUNTY SERVICES PKWY SW
Second Line :
City : MARIETTA
State : GA
Zip : 30008-4010
Country : US
Telephone Number : 770-514-2464
Fax Number : 770-514-2806
Provider Business Practice Location Address
First Line : 1650 COUNTY SERVICES PKWY SW
Second Line :
City : MARIETTA
State : GA
Zip : 30008-4010
Country : US
Telephone Number : 770-514-2361
Fax Number : 770-514-2811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 05/09/2023

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