Individual
ELISABETH A JEFFORDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5408 NW 88TH ST STE 140, JOHNSTON, IA 50131-2953
(515) 368-7504
(515) 355-3491
Mailing address
5408 NW 88TH ST STE 140, JOHNSTON, IA 50131-2953
(515) 368-7504
(515) 355-3491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1497
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
001497
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922171578
—
IA
Enumeration date
11/15/2006
Last updated
04/06/2026
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