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Mr. Justin Matthew Jefferson
Family Nurse Practitioner in Urbana, Illinois
NPI 1073238440

Justin Matthew Jefferson is a Family Nurse Practitioner based in Urbana, IL and is specialized in Family. Justin Matthew Jefferson practices in Urbana, IL. The NPI Number for Justin Matthew Jefferson is 1073238440 and holds a License No. 209.025128 (Illinois).

The current practice location address for Justin Matthew Jefferson is 611 W Park St, Urbana, IL and can be reached out via phone at 217-326-4325. You can also correspond with Justin Matthew Jefferson through the mailing address at 611 W. PARK ST., URBANA, IL - 61801 (mailing address contact number: ).

Location: 611 W Park St, Urbana, IL, 61801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073238440
Provider Name
Justin Matthew Jefferson
Credential
Provider Entity Type
Individual
Gender
Male
Address
611 W Park St, Urbana, IL, 61801
Phone Number
217-326-4325
Fax Number
Provider Enumeration Date
10/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 W Park St
City
Urbana
State
Illinois
Zip
61801-2529
Phone Number
217-326-4325
Fax Number
person
Provider Business Mailing Address Details
Address
611 W Park St
City
Urbana
State
Illinois
Zip
61801-2529
Phone Number
217-326-4325
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209025128 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.025128 (Illinois)
Definition
Definition to come...
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