Basic Information
| Provider Information | |||||||||
| NPI: | 1003149329 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | JEFFERS | ||||||||
| FirstName: | MONICA | ||||||||
| MiddleName: | NASSIM | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | NMD, FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1732 E SHEENA DR | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850224564 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6023303420 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1732 E SHEENA DR | ||||||||
| Address2: | |||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850224564 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6023303420 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2009 | ||||||||
| LastUpdateDate: | 12/31/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN127166 | AZ | N | Nursing Service Providers | Registered Nurse | 175F00000X | 08-1091 | AZ | Y | Other Service Providers | Naturopath | 363LF0000X | AP4657 | AZ | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.