GABRIEL S JEFFERSON — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, NE)
GABRIEL S JEFFERSON — Medicare Enrolled Provider (PRACTITIONER - PHYSICIAN ASSISTANT, NE) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: GABRIEL S JEFFERSON; Type: Individual; NPI: 1003221029.
| Name | GABRIEL S JEFFERSON |
|---|---|
| Type | Individual |
| NPI | 1003221029 |
| Provider type | PRACTITIONER - PHYSICIAN ASSISTANT |
| State | NE |
| Enrollment ID | I20140723000241 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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