Individual
ERICA MARIE JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007925A
IN
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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