# JUSTIN JEFFRIES

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

## Provider details

- **NPI number:** 1952563066
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2531 | WV | — |
| 207Q00000X | Family Medicine Physician | OS019108 | PA | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 04/19/2024