Individual
ZACHARY JORDAN JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 W COUGAR BLVD STE 704, PROVO, UT 84604-3333
(801) 357-3242
(801) 357-3241
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9202033-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
9202033-3102
UT
Other
Enumeration date
05/01/2025
Last updated
12/04/2025
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