Provider Demographics
NPI:1063175909
Name:LEJEUNE, JEFFERY ROBERT (CRNP)
Entity type:Individual
Prefix:MR
First Name:JEFFERY
Middle Name:ROBERT
Last Name:LEJEUNE
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 JOHNSON RD STE 160
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8968
Mailing Address - Country:US
Mailing Address - Phone:724-906-4798
Mailing Address - Fax:724-918-9068
Practice Address - Street 1:470 JOHNSON RD STE 160
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-8968
Practice Address - Country:US
Practice Address - Phone:724-906-4798
Practice Address - Fax:724-918-9068
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024503363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily