Individual
MS. LINDA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3084 PARKSIDE CT, SNELLVILLE, GA 30078-3600
(678) 608-9561
(470) 545-0594
Mailing address
3084 PARKSIDE CT, SNELLVILLE, GA 30078-3600
(678) 608-9561
(470) 545-0594
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN080747
GA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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