Individual
KIMBERLY K JEFVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3920 ST FRANCIS WAY STE 209, LAFAYETTE, IN 47905-4917
(765) 775-2830
(765) 775-2826
Mailing address
1282 WALNUT ST, DAWSON, MN 56232-2333
(320) 769-4393
(332) 769-2972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000683A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201008840
—
IN
Enumeration date
03/13/2007
Last updated
03/10/2020
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