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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVEN WAYNE JEFFERS, PA-C

Active Sole Proprietor

KEVEN WAYNE JEFFERS, PA-C is a Physician Assistant healthcare provider located in JELLICO, Tennessee. NPI 1609357953 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · JELLICO, TN

Registration Details

NPI Number
1609357953
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2018 (7.9658263645987 yrs)
Last Updated
Mar 7, 2023
Licenses
PA2407 (KY)
3646 (TN)
Sole Proprietor
Yes

Practice Information

Address
550 SUNSET TRL
JELLICO, TN, 377622343
Browse TN providers · Browse ZIP 37762
Phone
4237845771
Fax
4234550380
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in JELLICO, TN

Name Credential NPI
NATALIE RUTH WILBANKS PA-C 1144558644
ALLISON JILL BRANAM PA-C 1346510625
ADRIAN RICKETTS DAVIES PA 1366934382
WILLIAM SPENCER BOLT PA-C 1891402103
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.