Individual
PHYLLIS EILEEN JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5730 WARD RD, SUITE 102, ARVADA, CO 80002-1300
(303) 422-6331
(303) 422-6379
Mailing address
5730 WARD RD, SUITE 102, ARVADA, CO 80002-1300
(303) 422-6331
(303) 422-6379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44567
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44567
LICENSE #
CO
Enumeration date
02/09/2007
Last updated
03/07/2023
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