# MRS. JENNIFFER MARIE EFAW

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

## Provider details

- **NPI number:** 1316247935
- **Gender:** F
- **Credential:** N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4704187185 | MI | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 4704187185 | MI | — |
| 363L00000X | Nurse Practitioner | 4704187185 | MI | Yes |

## Other

- **Enumeration date:** 10/29/2010
- **Last updated:** 05/25/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4704187185 | LICENSE - NURSE PRACTITIONER | MI |