Provider Demographics
NPI:1831956440
Name:JEFFRIES, DON CHRISTOPHER SR
Entity type:Individual
Prefix:
First Name:DON
Middle Name:CHRISTOPHER
Last Name:JEFFRIES
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3809 CHEYENNE BLVD
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-4331
Mailing Address - Country:US
Mailing Address - Phone:712-577-8383
Mailing Address - Fax:
Practice Address - Street 1:3809 CHEYENNE BLVD
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-4331
Practice Address - Country:US
Practice Address - Phone:712-577-8383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide