Individual
MR. JON PATRICK JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2105 AIRLINE DR, BOSSIER CITY, LA 71111-3105
(318) 549-2011
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
206021
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
AP05106
LA
Other
Enumeration date
04/09/2007
Last updated
01/21/2022
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