Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 0008062 | CO |
N | 111NP0017X | Pediatric Chiropractor | 0008062 | CO |
NPI | 1538545603 |
---|---|
Provider Name | Dr. Ashley Virginia Jefferies |
First Address | Denver, CO 80211-3741 |
Second Address | Denver, CO 80211-3741 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2015 |
Last Update Date | 27/07/2020 |