Individual
MISS SHANNON M JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ARNP
Contact information
Practice address
361 GRANT AVE, JUNCTION CITY, KS 66441-4201
(785) 238-4711
(785) 238-4260
Mailing address
PO BOX 1107, JUNCTION CITY, KS 66441-1107
(785) 238-4711
(785) 238-4260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
MJ1111880
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000161261
TRICARE
KS
01
—
161261
BLUE CROSS BLUE SHIELD
KS
01
—
JEFFREY
WPPA
KS
Enumeration date
10/03/2005
Last updated
11/13/2007
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