Provider Demographics
NPI:1376220434
Name:OFFICE OF KIMBERLY JEFFREY DNP PLLC
Entity Type:Organization
Organization Name:OFFICE OF KIMBERLY JEFFREY DNP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JEFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:970-254-2470
Mailing Address - Street 1:3150 N 12TH ST UNIT T1000
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-2863
Mailing Address - Country:US
Mailing Address - Phone:970-254-2470
Mailing Address - Fax:970-965-0032
Practice Address - Street 1:3150 N 12TH ST UNIT T1000
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-2863
Practice Address - Country:US
Practice Address - Phone:970-254-2470
Practice Address - Fax:970-965-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty