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Individual
NONI GAZELLE JEFFERSON
Active
Individual
NONI GAZELLE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
248305
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5012215
NC
363LG0600X
Gerontology Nurse Practitioner
5012215
NC
Other
Enumeration date
08/20/2019
Last updated
03/19/2026
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