Individual
TAMMY G. JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 E FRANKLIN ST., MONROE, NC 28110-2818
(704) 283-6040
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1894
(704) 939-1118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174267
NC
Other
Enumeration date
08/25/2010
Last updated
07/31/2013
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