Individual
KATERI JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
50 SEWALL ST, PORTLAND, ME 04102-2645
(207) 775-3526
Mailing address
50 SEWALL ST, PORTLAND, ME 04102-2645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CNP201187
ME
Other
Enumeration date
07/23/2020
Last updated
05/02/2022
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