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Individual

RACHAEL N. JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
4274 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 242-1234
(229) 242-0687
Mailing address
1909 US HIGHWAY 82 W STE 5, TIFTON, GA 31793-8213
(229) 386-4300
(229) 386-8300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN220323
GA
363L00000X
Nurse Practitioner
Primary
RN220323
GA
363LF0000X
Family Nurse Practitioner
RN220323
GA

Other

Enumeration date
12/21/2017
Last updated
12/19/2023
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