Individual provider · Type 1 NPI

Damecia L. Jefferson

Licensed Practical Nurse · Dallas, TX

NPI number 1174136139 Active

Practice location

706 Mannington Dr
Dallas, TX 75232-3150

Call (504) 206-8026 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse 164X00000X1009860 (TX)
Licensed Practical Nurse Primary 164W00000X1009860 (TX)

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 1174136139

Damecia L. Jefferson's National Provider Identifier is 1174136139, issued on Aug 28, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Dallas, TX. The record was last updated on Aug 28, 2020.