Provider Demographics
NPI:1821253741
Name:JEFFRIES, CINDY LOU (FNP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:LOU
Last Name:JEFFRIES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 DELANO ST
Mailing Address - Street 2:
Mailing Address - City:PULASKI
Mailing Address - State:NY
Mailing Address - Zip Code:13142-1400
Mailing Address - Country:US
Mailing Address - Phone:315-298-6564
Mailing Address - Fax:315-298-3968
Practice Address - Street 1:639 COUNTY ROUTE 22
Practice Address - Street 2:SCHOOL BASED HEATLH CENTER AT APW SCHOOL
Practice Address - City:PARISH
Practice Address - State:NY
Practice Address - Zip Code:13131-3182
Practice Address - Country:US
Practice Address - Phone:315-625-5213
Practice Address - Fax:315-625-5239
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF335608363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily