Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn E Jefferson Jr., MD

Individual provider Family Medicine Physician · NPI 1326121286

Glenn E Jefferson Jr., MD is a Family Medicine Physician in Lewiston, Idaho. Licensed in Idaho and Washington. Registered with an NPI since 2006.

Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1720 18th Ave
Lewiston, ID 83501-4047
Phone: (208) 746-4097
Fax: (208) 746-2294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M4593 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00025241 (WA)

Record details

NPI number1326121286
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 23, 2006
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address1720 18th Ave, Lewiston, ID 83501-4047

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