Individual provider · Type 1 NPI

Patrice Jefferson

Licensed Practical Nurse · Farmington Hills, MI

NPI number 1104730514 Active

Practice location

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312

Call (833) 476-5837 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703133492 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104730514

Patrice Jefferson's National Provider Identifier is 1104730514, issued on Oct 1, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Farmington Hills, MI. The record was last updated on Oct 1, 2026.