Individual
JENNIFER F JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
135 W. RAVINE ROAD, SUITE 5-B, KINGSPORT, TN 37660-3847
(423) 224-3460
(423) 224-3465
Mailing address
PO BOX 1308, KINSPORT, TN 37662-1308
(423) 224-3460
(423) 224-3465
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
15238
TN
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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