Provider Demographics
NPI:1255347159
Name:GEBERS, JEFF EMIL (RN)
Entity type:Individual
Prefix:MR
First Name:JEFF
Middle Name:EMIL
Last Name:GEBERS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1864
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95759-1864
Mailing Address - Country:US
Mailing Address - Phone:916-492-7240
Mailing Address - Fax:916-736-1072
Practice Address - Street 1:1815 STOCKTON BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6653
Practice Address - Country:US
Practice Address - Phone:916-492-7240
Practice Address - Fax:916-736-1072
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA517295163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse