National Provider Identifier

Samantha Renee Jeffers

Samantha Renee Jeffers is listed in the NPPES registry with a primary specialty of Specialist in Webster, NY and a listed phone number of (585) 710-3237.

NPI 1346974177Webster, NYSpecialist

Profile Overview

NPI
1346974177
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 16, 2022
Last Updated
July 16, 2022

Practice Location

  • 40 Webster Manor Dr Apt 1
  • Webster, NY 14580-2099

Phone: (585) 710-3237

Specialties

  • Specialist (174400000X)
Full Record
NPI
1346974177
Entity Type
Individual
Last Name
Jeffers
First Name
Samantha
Middle Name
Renee
Mailing Street Address
40 Webster Manor Dr Apt 1
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2099
Mailing Country
US
Mailing Phone
(585) 710-3237
Practice Street Address
40 Webster Manor Dr Apt 1
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-2099
Practice Country
US
Practice Phone
(585) 710-3237
Enumeration Date
July 16, 2022
Last Updated
July 16, 2022
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
July 16, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)