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Individual

KIMBERLY JEFFRIES-WHITFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 685-6570
Mailing address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(215) 685-6570

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014755
PA
363LP2300X
Primary Care Nurse Practitioner
SP014755
PA

Other

Enumeration date
02/12/2015
Last updated
03/05/2021
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