| Doctor Name: | MRS. MAURA JEAN JEFFREY |
| NPI Number: | 1144517046 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F340265-1 |
| Business Practice Address: | 36 Suffolk Rd Hampton Bays, NY - 119462237 |
| Business Phone Number: | 6317283865 |
| Business Fax Number: | |
| Mailing Address: | 36 Suffolk Rd, HAMPTON BAYS |
| State: | NY |
| Postal Code: | 119462237 |
| Phone Number: | 6317283865 |
| Fax Number: | |
| NPI Enumeration Date: | 06/30/2011 |
| NPI Last Update Date: | 06/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | F340265-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |