Individual
DR. KEISHA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8069
Mailing address
4140 HIGHWAY 41A S, CLARKSVILLE, TN 37043-7300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02984000
NJ
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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