Individual provider · Type 1 NPI

Justin Matthew Jefferson

Family Nurse Practitioner · Urbana, IL

NPI number 1073238440 Active

Practice location

611 W Park St
Urbana, IL 61801-2529

Mailing address

611 W. Park St., Fapc
Urbana, IL 61801

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209.025128 (IL)
Family Nurse Practitioner Primary 363LF0000X209025128 (IL)

Family Nurse Practitioner: Definition to come...

775 other providers at this address

Other family nurse practitioner providers in Urbana

See all in Urbana →

About NPI 1073238440

Justin Matthew Jefferson's National Provider Identifier is 1073238440, issued on Oct 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Urbana, IL. The record was last updated on May 5, 2023.