Individual
MS. CARRIE LYNN JEFFRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
97 GREAT TEAYS BLVD STE 6, SCOTT DEPOT, WV 25560-9816
(304) 757-6999
Mailing address
48 LAURA DR, SAINT PETERS, MO 63376-3642
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024171115
VA
363LA2200X
Adult Health Nurse Practitioner
R 130161
MD
Other
Enumeration date
10/09/2008
Last updated
08/23/2023
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