Jessica Jeffries, PA
Physician Assistant, Medical in Lakeland, FL. Individual provider (NPI-1).
NPI number1265989487
StatusActive
Last updated in NPPESOct 29, 2021
Details
- NPI
- 1265989487
- Entity type
- Individual (NPI-1)
- Name
- Jessica Jeffries
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2016
- Certification date
- Sep 23, 2021
- Last updated
- Oct 29, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9113976 | FL | Yes |
| 363AM0700X | Physician Assistant, Medical | MED-PAC-LIC-50812 | MT |
Practice location
2300 E County Road 540aLakeland, FL 33813-3825
Phone 863-680-7267 · Fax 866-264-8519
Mailing address
1600 Lakeland Hills BlvdLakeland, FL 33805-3019
Phone 863-680-7000 · Fax 866-264-8519
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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