Individual
JAMES JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2479 E COLORADO BLVD, SPEARFISH, SD 57783-3204
(605) 644-4460
(605) 644-4461
Mailing address
2479 E COLORADO BLVD, SPEARFISH, SD 57783-3204
(605) 644-4460
(605) 644-4461
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001128
SD
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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