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Individual
JEFFREY TRAVIS NEEDY
Active
Individual
JEFFREY TRAVIS NEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024177807
VA
363L00000X
Nurse Practitioner
3007076
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000746201
ANTHEM
KY
05
—
201043930
—
IN
01
—
311192100
BLACK LUNG/US DEPT OF LABOR
KY
01
—
50034695
PASSPORT HEALTHPLAN
KY
05
—
7100192340
—
KY
Enumeration date
08/05/2011
Last updated
10/20/2020
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