Individual
MCKENZIE KORI JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546-7637
(910) 333-0283
(910) 333-0513
Mailing address
105 WATERS LNDG, STAFFORD, VA 22554-7833
(706) 892-9740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021906
NC
Other
Enumeration date
06/27/2023
Last updated
03/31/2025
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