Individual
LUCETTE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W 50TH ST, 6TH FLOOR, NEW YORK, NY 10020-1201
(212) 582-9100
Mailing address
135 W 50TH ST, 6TH FLOOR, NEW YORK, NY 10020-1201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
690777-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402097
NY
Other
Enumeration date
01/25/2016
Last updated
09/26/2016
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