Individual
FLORENCE SUE JEFFREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN ANP
Contact information
Practice address
1034 S BRENTWOOD, STE 1120, ST LOUIS, MO 63117
(314) 726-1612
(314) 726-1653
Mailing address
3691 RUTGER AVE, PROVIDER ENROLLMENT, ST LOUIS, MO 63110
(314) 977-4440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
052767
MO
163W00000X
Registered Nurse
—
IL
363L00000X
Nurse Practitioner
052767
MO
363LA2200X
Adult Health Nurse Practitioner
052767
MO
Other
Enumeration date
04/12/2006
Last updated
01/09/2008
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