Provider Demographics
NPI:1821614207
Name:JEFFCOAT, CIARA NICOLE (FNP-C)
Entity Type:Individual
Prefix:
First Name:CIARA
Middle Name:NICOLE
Last Name:JEFFCOAT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N CENTRAL EXPY STE 601
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6938
Mailing Address - Country:US
Mailing Address - Phone:972-424-6311
Mailing Address - Fax:
Practice Address - Street 1:600 N CENTRAL EXPY STE 601
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6938
Practice Address - Country:US
Practice Address - Phone:972-424-6311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAPI141666363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily