Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 08-1091 | AZ |
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP4657 | AZ |
NPI | 1003149329 |
---|---|
Provider Name | Dr. Monica Nassim Jeffers |
First Address | Phoenix, AZ 85022-4564 |
Second Address | Phoenix, AZ 85022-4564 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2009 |
Last Update Date | 31/12/2012 |