Individual
BENJAMIN JEFFREY
Active
Individual
BENJAMIN JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007140
NC
363LF0000X
Family Nurse Practitioner
AP#5382
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP#5382
AZ BOARD OF NURSES
AZ
Enumeration date
01/14/2014
Last updated
03/17/2018
Update your record
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