Provider Demographics
NPI:1952919656
Name:JEFFRIES, BRANDON REBBECA (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:REBBECA
Last Name:JEFFRIES
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:R
Other - Last Name:JEFFRIES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, NP-C
Mailing Address - Street 1:PO BOX 551
Mailing Address - Street 2:
Mailing Address - City:HANNIBAL
Mailing Address - State:MO
Mailing Address - Zip Code:63401-0551
Mailing Address - Country:US
Mailing Address - Phone:573-629-3500
Mailing Address - Fax:573-406-5889
Practice Address - Street 1:6500 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:MO
Practice Address - Zip Code:63401-6890
Practice Address - Country:US
Practice Address - Phone:573-629-3500
Practice Address - Fax:573-629-5889
Is Sole Proprietor?:No
Enumeration Date:2020-07-19
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020022386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily