Doctor Name: | DR. MONICA NASSIM JEFFERS |
NPI Number: | 1003149329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NMD, FNP-C |
License Number: | AP4657 |
Business Practice Address: | 1732 E Sheena Dr Phoenix, AZ - 850224564 |
Business Phone Number: | 6023303420 |
Business Fax Number: | |
Mailing Address: | 1732 E Sheena Dr, PHOENIX |
State: | AZ |
Postal Code: | 850224564 |
Phone Number: | 6023303420 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2009 |
NPI Last Update Date: | 12/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP4657 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |