Individual
SHAYNE MICHAEL JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7299
(206) 933-7201
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(206) 933-7299
(206) 933-7201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017021326
MO
163W00000X
Registered Nurse
201900571RN
OR
163W00000X
Registered Nurse
Primary
RN61151055
WA
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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