JEFFRIES GEORGE NICKERSON CHA 3 NPI 1588931877

NPI Information

Jeffries George Nickerson, CHA 3 is an emergency medical technician intermediate in Klawock, AK. The provider is an Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. Jeffries George Nickerson, CHA 3 NPI is 1588931877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7300 KLAWOCK-HOLLIS
KLAWOCK, AK
ZIP 99921
Phone: (907) 755-4800
Fax: (907) 755-4981

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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