Individual
JESSICA JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2300 E COUNTY ROAD 540A, LAKELAND, FL 33813-3825
(863) 680-7267
(866) 264-8519
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 680-7000
(866) 264-8519
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MED-PAC-LIC-50812
MT
363AM0700X
Medical Physician Assistant
Primary
PA9113976
FL
Other
Enumeration date
09/06/2016
Last updated
10/29/2021
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