Individual
DARRELL JEFFERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
908 W JUDGE PEREZ DR, CHALMETTE, LA 70043-4773
(504) 324-5298
(504) 556-0949
Mailing address
PO BOX 422, SAINT ROSE, LA 70087-0422
(504) 462-3204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
172V00000X
Community Health Worker
—
CA
Other
Enumeration date
01/28/2020
Last updated
05/31/2024
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