Individual provider · Type 1 NPI
Destiny Laine Jefferson
Family Nurse Practitioner · Navarre, FL
NPI number
1184237000
Active
Practice location
2721 Creeks Edge Ln
Navarre, FL 32566-8666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11007965 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1184237000
Destiny Laine Jefferson's National Provider Identifier is 1184237000, issued on Aug 29, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Navarre, FL. The record was last updated on Aug 29, 2020.