# COURTNEY C JEFFERY

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

## Provider details

- **NPI number:** 1902075641
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 2011030977 | MO | — |
| 363L00000X | Nurse Practitioner | 46123 | KS | — |
| 363L00000X | Nurse Practitioner | 53-46123 | KS | Yes |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 06/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1902075641 | — | MO |
| 05 | — | 200564350A | — | KS |
| 05 | — | 200564350B | — | KS |