Most Relevant Information
Provider Data
| NPI Number: | 1003221029 |
| Provider Name: | GABRIEL JEFFERSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2014 |
| Last Updated: | 07/16/2018 |
Provider Practice Location
5000 N 26TH ST
SUITE 100
LINCOLN
NE
685214749
Practice Location Phone/Fax
| Phone: | 4024355300 |
| Fax: |
Provider Mailing Location
2222 S 16TH ST
STE 400A
LINCOLN
NE
685023785
Provider Mailing Phone/Fax
| Phone: | 4024838590 |
| Fax: | 4024838599 |