Individual
SIDNEY JEFFERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1095 N ASPEN AVE, BROKEN ARROW, OK 74012-9641
(918) 995-3001
Mailing address
221 W KNOXVILLE ST, BROKEN ARROW, OK 74012-5359
(918) 520-6223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
214658
OK
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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