Marie Jefferson in Modena - Licensed Practical Nurse
Marie Jefferson - NPI 1457566713
Marie Jefferson is a Licensed Practical Nurse in Modena, New York. Marie Jefferson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Marie Jefferson is 1457566713. The last update date is 2007-07-09.
Marie Jefferson's current location address is 2139 State Route 32, Modena, New York. You can contact this provider via phone number 8458834227. The mailing address for Marie Jefferson is 2139 State Route 32, Modena, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marie Jefferson |
|---|---|
| Address | 2139 State Route 32, Modena, New York |
| Phone Number | 8458834227 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1457566713 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2139 State Route 32 |
|---|---|
| City | Modena |
| State | New York (NY) |
| Post Code | 125485213 |
| Phone Number | 8458834227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 270543-1 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2322952 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marie Jefferson by the Centers for Medicare & Medicaid Services?
The Marie Jefferson has been issued the NPI (National Provider Identifier) 1457566713, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Marie Jefferson is geographically located?
The Marie Jefferson is physically situated at the following location: 2139 State Route 32, Modena, NY, 125485213.
What is Marie Jefferson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marie Jefferson is Licensed Practical Nurse, and the taxonomy classification code that categorizes this area of expertise is 164W00000X.
On what date did the Marie Jefferson receive the assignment of its 1457566713 from the Centers for Medicare & Medicaid Services?
The Marie Jefferson was issued its 1457566713 by the Centers for Medicare & Medicaid Services on 2007-05-11.
As of what date were the Marie Jefferson's details last updated?
The information pertaining to the Marie Jefferson, including its address, specialty, and other details, was most recently updated on 2007-07-09.