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Individual

STELLA KIAH JEFFERIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
11120 NEW HAMPSHIRE AVE, 501, SILVER SPRING, MD 20904-2633
(301) 593-8300
(301) 593-8301
Mailing address
11120 NEW HAMPSHIRE AVE, 501, SILVER SPRING, MD 20904-2633
(301) 593-8300
(301) 593-8301

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R161889
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
050213800
MD
05
082735300
DC
Enumeration date
09/13/2010
Last updated
03/21/2017
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