Individual
MARINA MICHELE JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
338149
LA
207Q00000X
Family Medicine Physician
OS022262
PA
Other
Enumeration date
03/20/2019
Last updated
01/30/2025
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