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Individual
MS. DIANA M JEFFREY
Active
Individual
MS. DIANA M JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A093550
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1433284
—
IA
01
—
571220779
WELLMARK BCBS
IA
01
—
P00466179
RAILROAD MEDICARE
IA
Enumeration date
08/10/2005
Last updated
01/07/2010
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