Andrea M Jeffery | Meridian, ID • PECOS Search

Andrea M Jeffery

Dietitian, Registered

Dietary & Nutritional Service Providers

86 W Yosemite St, Meridian, ID 83646-6786

PECOS Enrollment

Based on the most recent information from CMS, provider Andrea M Jeffery does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1619647476
Provider Type
Individual
Full Name
Jeffery, Andrea M
Title
Ms.
Credential
RDN, LD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/14/2021
Last Updated
9/14/2021

Contact Information

Practice Location

86 W Yosemite St, Meridian, ID 83646-6786

Unlisted Fax

Mailing Location

86 W Yosemite St, Meridian, ID 83646-6786

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 133V00000X Primary	Description Dietitian, Registered Dietary & Nutritional Service Providers	License D-1125 Idaho