Individual
DEANNA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123412
AR
163W00000X
Registered Nurse
95350718
CA
Other
Enumeration date
02/01/2012
Last updated
12/15/2023
Update your record
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