# JEFFREY TRAVIS NEEDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1306125570
- **Gender:** Man
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024177807 | VA | Yes |
| 363L00000X | Nurse Practitioner | 3007076 | KY | — |

## Other

- **Enumeration date:** 08/05/2011
- **Last updated:** 10/20/2020

## 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 |