| Doctor Name: | DORIS TODD JEFFERYS |
| NPI Number: | 1134353758 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 5004360 |
| Business Practice Address: | 614 N Jk Powell Blvd Whiteville, NC - 284723008 |
| Business Phone Number: | 9106402611 |
| Business Fax Number: | |
| Mailing Address: | 3079 Hallsboro Rd N, WHITEVILLE |
| State: | NC |
| Postal Code: | 284726801 |
| Phone Number: | 9106463789 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2009 |
| NPI Last Update Date: | 05/11/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5004360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |