Individual
CHERRY CHARLETTE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
17919 OBELISK BAY DR, CYPRESS, TX 77429-5626
(832) 584-7114
Mailing address
17919 OBELISK BAY DR, CYPRESS, TX 77429-5626
(832) 584-7114
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
905917
TX
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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