Individual
KRISHNA YVONNNE JEFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-C
Contact information
Practice address
100 MEMORIAL HOSPITAL DR STE 1A, MOBILE, AL 36608
(251) 343-6848
(251) 343-5708
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-095574
AL
363LG0600X
Gerontology Nurse Practitioner
Primary
1-095574
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04802837
MS MEDICAID
MS
01
—
10250I7971
MEDICARE
AL
05
—
171350
—
AL
05
—
214102
—
AL
05
—
214217
—
AL
05
—
224171
—
AL
01
—
4165717
AETNA
AL
01
—
511-59488
BCBS
AL
01
—
511-59490
BCBS
AL
01
—
511-59493
BCBS
AL
01
—
511-59495
BCBS
AL
01
—
512-05621
BCBS
AL
01
—
512-05622
BCBS
AL
01
—
5360280
UHC
AL
01
—
P01468854
RR MEDICARE
AL
01
—
Z95005
VIVA HEALTH
AL
Enumeration date
02/06/2015
Last updated
06/28/2019
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