Jeffries, Natascha R

Jeffries, Natascha R is an individual health care provider with primary practice located at 100 N 8Th St Ste 120 , East Saint Louis IL 62201-2989. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jeffries, Natascha R can be contacted via phone (618) 274-9105.

Contact Information

Primary practice address
100 N 8Th St Ste 120 East Saint Louis IL 62201-2989
Phone: (618) 274-9105
Fax: (618) 274-9101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013035192 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010921 Illinois

Profile Details

NPI number 1629409362
LBN Legal business name Jeffries, Natascha R
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2013
Last updated Aug 25th, 2021 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629409362 NPPES
Illinois Other 209010921 STATE LICENSE

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