Individual
ALEXIS SIMONE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1610 MILLER PARK WAY, MILWAUKEE, WI 53214-3604
(414) 672-3801
Mailing address
1610 MILLER PARK WAY, MILWAUKEE, WI 53214-3604
(414) 672-3801
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233452
WI
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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