Individual
SARAH JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 FRONT ST, CHICOPEE, MA 01013-3140
(413) 420-2222
(413) 534-5416
Mailing address
505 FRONT ST, CHICOPEE, MA 01013-3140
(413) 420-2222
(413) 534-5416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2308399
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027773
—
MA
Enumeration date
03/09/2017
Last updated
03/09/2017
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