MR. Justin Matthew Jefferson

NPI #1073238440 in Urbana, Illinois

Provider Information

NPI Number
1073238440
Entity Type
Individual
Name
MR. Justin Matthew Jefferson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Oct 7, 2022
Last Updated
May 5, 2023

Practice Location

Address
611 W PARK ST
City
Urbana
ZIP Code
61801-2529
Phone
(217) 326-4325

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Nurse Practitioner - FamilyFamily

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