Provider Demographics
NPI:1598312753
Name:JEFFERIES, VIRGINIA (FNP)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:JEFFERIES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1541 S MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-4643
Mailing Address - Country:US
Mailing Address - Phone:385-352-5545
Mailing Address - Fax:385-352-1003
Practice Address - Street 1:1541 S MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-4643
Practice Address - Country:US
Practice Address - Phone:385-352-5545
Practice Address - Fax:385-352-1003
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4780068-8900363LF0000X
UT4780068-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily