Individual
JUSTIN JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1275 S MAIN ST STE 202, GREENSBURG, PA 15601-5385
(724) 836-8303
(724) 836-8311
Mailing address
575 COAL VALLEY RD STE 204, CLAIRTON, PA 15025-3724
(412) 466-2220
(412) 466-4048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016303
PA
363LF0000X
Family Nurse Practitioner
SP016303
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1037357530001
—
PA
05
—
1037357530011
—
PA
Enumeration date
08/14/2016
Last updated
05/17/2024
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