Mr. Jeffrey Allen Siebert
Nurse Practitioner - Neonatal
743 Spring St Ne
Gainesville
, Georgia 30501-3715
Mr. Jeffrey Allen Siebert
Nurse Practitioner - Neonatal
743 Spring St Ne
Gainesville
, Georgia 30501-3715
(910) 450-4194
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Mr. Jeffrey Allen Siebert
- 100 Brewster Blvd., Camp Lejeune
- Jacksonville, NC
- Zip : 28547-4194
- Fax : (910) 450-4194
- Phone : (910) 450-4159
Second Address
- Mr. Jeffrey Allen Siebert
- 743 Spring St Ne
- Gainesville, GA
- Zip : 30501-3715
- Fax : (770) 535-7092
- Phone : (770) 535-3611
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 778279 | TX |
National Provider Identifier
| NPI | 1114255593 |
|---|---|
| Provider Name | Mr. Jeffrey Allen Siebert |
| First Address | Jacksonville, NC 28547-4194 |
| Second Address | Gainesville, GA 30501-3715 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/11/2009 |
| Last Update Date | 24/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.