MRS. MARILYN MARIE JEFFRIES (NPI# 1922129246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922129246 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN MARIE JEFFRIES |
| Credential | RNC, WHNP |
| Practice Address |
1231 Menomonie St Eau Claire WI 54703-5996 |
| Mailing Address |
19085 64th Ave Chippewa Falls WI 54729-6727 |
| Practice Telephone | 7158332279 |
| Practice Fax Number | 7158338580 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
2860-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1231 MENOMONIE ST |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-5996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003162462 | Leslie Ewens | Nurse Practitioner | 1231 Menomonie St, Eau Claire, WI 54703-6335 | 2012-08-02 |
| 1255506754 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 1231 Menomonie St, Eau Claire, WI 54703-6335 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1346494770 | Erica R. Loppnow | Nurse Practitioner | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2008-11-12 |
| 1013172766 | Annette Quinn | Nurse Practitioner | 725 American Ave, Prohealth Care Women's Center, Waukesha, WI 53188-5031 | 2008-07-22 |
| 1225295736 | Kaitlin S. Earley | Nurse Practitioner | 1303 S Main St, Holmen, WI 54636 | 2008-05-21 |
| 1265604839 | Dawn C. Baarendse | Nurse Practitioner | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2008-03-24 |
| 1174744494 | Lyndell Marie Wedyke | Nurse Practitioner | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2007-05-02 |
| 1528104536 | Mary C Mazul | Nurse Practitioner | 5000 W Chambers St, St. Joseph Regional Medical Ctr-women's Outpatient Ctr, Milwaukee, WI 53210-1650 | 2007-01-29 |
| 1053470195 | Sarah Ann Pierre | Nurse Practitioner | 704 S Webster Ave, Obgyn Associates of Green Bay Ltd, Green Bay, WI 54301 | 2006-12-06 |
| 1902826522 | Lynn Marie Kern | Nurse Practitioner | 2720 Plaza Dr, Suite 2100, Wausau, WI 54401-4158 | 2006-07-19 |
| 1316991649 | Lori Hagar | Nurse Practitioner | 9200 W Wisconsin Ave, Department of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
Please comment or provide details below to improve the information on MRS. MARILYN MARIE JEFFRIES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.