Individual
ALVIN D JEFFERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, FNP-BC
Contact information
Practice address
3333 BURNET AVE, PATIENT SERVICES APN/ML4019, CINCINNATI, OH 45229-3026
(513) 636-5463
(513) 636-8893
Mailing address
3333 BURNET AVENUE, ML5021, CINCINNATI, OH 45229-3039
(513) 636-2039
(866) 213-7089
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.332819-COA1
OH
363LF0000X
Family Nurse Practitioner
Primary
COA.12900-NP
OH
Other
Enumeration date
05/15/2011
Last updated
05/10/2012
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