Individual
AMY LYNN JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2776 CLEVELAND AVE, FORT MYERS, FL 33901-5864
(239) 343-1614
(239) 343-3695
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-1614
(239) 343-3695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11032490
FL
363LF0000X
Family Nurse Practitioner
COA.12348-NP
OH
363LF0000X
Family Nurse Practitioner
SP011356
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124007000
—
FL
Enumeration date
06/08/2011
Last updated
10/15/2024
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