Jeffries, Justin
Jeffries, Justin is an individual health care provider with primary practice located at 1275 S Main St Ste 202 , Greensburg PA 15601-5385. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Jeffries, Justin can be contacted via phone (724) 836-8303.Contact Information
Primary practice address
1275 S Main St Ste 202
Greensburg PA 15601-5385
Phone: (724) 836-8303
Fax: (724) 836-8311
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP016303 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP016303 | Pennsylvania |
Profile Details
NPI number | 1780138123 |
---|---|
LBN Legal business name | Jeffries, Justin |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2016 |
Last updated | May 17th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780138123 | NPPES |
Pennsylvania | MEDICAID | 1037357530001 | |
Pennsylvania | MEDICAID | 1037357530011 |
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