Individual
MRS. AMANDA JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 554-3000
Mailing address
12432 N 200 E, PERRYSVILLE, IN 47974-8005
(765) 793-2448
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043.116386
IL
Other
Enumeration date
12/20/2013
Last updated
12/20/2013
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