Provider Demographics
NPI:1841566098
Name:JEFFREYS, DEBRA ANN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:ANN
Last Name:JEFFREYS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:BOBEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:787 CHERRY VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-1166
Mailing Address - Country:US
Mailing Address - Phone:440-396-7591
Mailing Address - Fax:
Practice Address - Street 1:212 SLEEPY HOLLOW DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-2791
Practice Address - Country:US
Practice Address - Phone:440-315-0136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-31
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN058508164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse