Individual
RACHELE N JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
503 ROOSEVELT BLVD, ELEANOR, WV 25070-0503
(304) 586-0001
(304) 586-1301
Mailing address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
(304) 201-5019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2235
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508145517
—
WV
05
—
3810020849
—
WV
Enumeration date
08/08/2011
Last updated
08/02/2019
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