Individual
ANJELICA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 535-3611
(770) 535-7092
Mailing address
2015 UPPERGATE DRIVE NEONATOLOGY DEPT, ATLANTA, GA 30322-0001
(404) 727-3360
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-NP230248
GA
363LP0200X
Pediatric Nurse Practitioner
RN230248
GA
363LP0200X
Pediatric Nurse Practitioner
RN230248
—
363LP0222X
Critical Care Pediatric Nurse Practitioner
RN230248
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003262836
MEDICAID
GA
Enumeration date
10/28/2021
Last updated
10/30/2025
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