# DR. JEFFREY S. TEBBS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114181989
- **Gender:** Man
- **Credential:** DNP, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0809X | Adult Psychiatric/Mental Health Registered Nurse | RN00164186 | WA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 11996960-4405 | UT | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP60045999 | WA | Yes |

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 10/02/2024