Provider Demographics
NPI:1013441427
Name:JEFFREY, GAIL (AAS IN HUMAN SERV)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:
Last Name:JEFFREY
Suffix:
Gender:F
Credentials:AAS IN HUMAN SERV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 SUNNYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3706
Mailing Address - Country:US
Mailing Address - Phone:757-251-0655
Mailing Address - Fax:757-325-6685
Practice Address - Street 1:3411 SUNNYSIDE DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3706
Practice Address - Country:US
Practice Address - Phone:757-251-0655
Practice Address - Fax:757-325-6685
Is Sole Proprietor?:No
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator