| Doctor Name: | MR. JAMES FALLON JEFFREY |
| NPI Number: | 1013074004 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA- 9101291 |
| Business Practice Address: | 201 Health Park Blvd Suite 105 St Augustine, FL - 320865796 |
| Business Phone Number: | 9048241776 |
| Business Fax Number: | 9048251270 |
| Mailing Address: | 1507 San Rafael Way, ST AUGUSTINE |
| State: | FL |
| Postal Code: | 320805310 |
| Phone Number: | 9042172497 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA- 9101291 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |