Individual
ERIN KAY JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10215 AUBURN PARK DR, FORT WAYNE, IN 46825-2387
(260) 234-5400
(260) 234-5110
Mailing address
10215 AUBURN PARK DR, FORT WAYNE, IN 46825-2387
(260) 234-5400
(260) 234-5110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02004168A
IN
Other
Enumeration date
06/17/2011
Last updated
08/21/2024
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