Individual
PAMELA IRENE JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5706
(601) 984-5733
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5706
(601) 984-5733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R699063
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06673820
—
MS
Enumeration date
05/09/2013
Last updated
11/29/2016
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