# RHEA J JEFFERS APRN-CNP LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194491993
- **Authorized official:** RHEA J JEFFERS APRN-CNP (OWNER)
- **Authorized official phone:** (937) 239-5644

## Contact information

- **Practice address:** 3085 WOODMAN DR, SUITE 205, KETTERING, OH 45420-1171
- **Practice address phone:** (937) 502-1069
- **Practice address fax:** (937) 660-6422
- **Mailing address:** 3085 WOODMAN DR STE 205, KETTERING, OH 45420-1171
- **Mailing address phone:** (937) 502-1069
- **Mailing address fax:** (937) 660-6422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/20/2021
- **Last updated:** 09/29/2021