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Individual
KELEIGH JEFFERSON
Active
Individual
KELEIGH JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
817389
CA
163W00000X
Registered Nurse
RN75581
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NPF95004734
CA
Other
Enumeration date
01/07/2014
Last updated
08/17/2026
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