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Individual

NIKOLE MARIE JEFFRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
480 CENTRAL AVE, NAVAL HEALTH CLINIC HAWAI'I, PEARL HARBOR, HI 96860
(541) 390-0029
Mailing address
2040 SW PHEASANT DR, ALOHA, OR 97006-3838
(541) 390-0029

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200830473LPN
OR
164W00000X
Licensed Practical Nurse
LP 60262043
WA
164W00000X
Licensed Practical Nurse
LPN 17499
HI

Other

Enumeration date
02/17/2013
Last updated
02/22/2013
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