Michael D Jefferson in Decatur - Licensed Practical Nurse
Michael D Jefferson - NPI 1972709806
Michael D Jefferson is a Licensed Practical Nurse in Decatur, Illinois. Michael D Jefferson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Michael D Jefferson is 1972709806. The last update date is 2007-07-08.
Michael D Jefferson's current location address is Po Box 710, Decatur, Illinois. You can contact this provider via phone number 2173626262. The mailing address for Michael D Jefferson is Po Box 710, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael D Jefferson |
|---|---|
| Address | Po Box 710, Decatur, Illinois |
| Phone Number | 2173626262 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1972709806 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 710 |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625250710 |
| Phone Number | 2173626262 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
|
Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael D Jefferson by the Centers for Medicare & Medicaid Services?
The Michael D Jefferson has been issued the NPI (National Provider Identifier) 1972709806, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael D Jefferson?
The Michael D Jefferson is situated at Po Box 710, in the city of Decatur, state of IL, with the zip code 625250710.
What is the area of specialization for Michael D Jefferson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael D Jefferson is Licensed Practical Nurse, and the corresponding taxonomy code that categorizes this area of expertise is 164W00000X.
When was the Michael D Jefferson's 1972709806 issued?
The Michael D Jefferson's 1972709806 was issued on 2007-06-26.
When was the information regarding Michael D Jefferson most recently updated?
The details pertaining to the Michael D Jefferson, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.