Dixie Lea Jeffery in Luck - Licensed Practical Nurse
Dixie Lea Jeffery - NPI 1407029317
Dixie Lea Jeffery is a Licensed Practical Nurse in Luck, Wisconsin. Dixie Lea Jeffery practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Dixie Lea Jeffery is 1407029317. The last update date is 2008-04-11.
Dixie Lea Jeffery's current location address is 2493 Round Lake Rd, Luck, Wisconsin. You can contact this provider via phone number 7154722623. The mailing address for Dixie Lea Jeffery is 2493 Round Lake Rd, Luck, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dixie Lea Jeffery |
|---|---|
| Address | 2493 Round Lake Rd, Luck, Wisconsin |
| Phone Number | 7154722623 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1407029317 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 2493 Round Lake Rd |
|---|---|
| City | Luck |
| State | Wisconsin (WI) |
| Post Code | 548535302 |
| Phone Number | 7154722623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 13972-031 |
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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 identifier code issued to Dixie Lea Jeffery by the Centers for Medicare & Medicaid Services (CMS)?
The Dixie Lea Jeffery has been assigned the NPI (National Provider Identifier) 1407029317. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Dixie Lea Jeffery's facilities are geographically located?
The facilities of Dixie Lea Jeffery are physically situated at the following location: 2493 Round Lake Rd, Luck, WI, 548535302.
What is Dixie Lea Jeffery's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dixie Lea Jeffery is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407029317 to Dixie Lea Jeffery?
The Dixie Lea Jeffery received its 1407029317 assignment from the Centers for Medicare & Medicaid Services on 2008-04-11.
As of what date were the details related to Dixie Lea Jeffery most recently updated or revised?
The information pertaining to Dixie Lea Jeffery, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-11.