Individual
ELIZABETH ANNE JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24 FRANK LLOYD WRIGHT DRIVE, LOBBY M LEVEL 2, ANN ARBOR, MI 48105-9484
(734) 936-9795
Mailing address
3621 S STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704272747
MI
363LF0000X
Family Nurse Practitioner
4704272747
MI
363LF0000X
Family Nurse Practitioner
APN0000015281
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704272747
STATE LICENSE NUMBER
MI
Enumeration date
04/29/2011
Last updated
01/23/2017
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