Individual provider · Type 1 NPI

Shenita R. Jefferson

Peer Specialist · Edmond, OK

NPI number 1194221242 Active

Practice location

700 Parkhurst Ter
Edmond, OK 73003-5062

Mailing address

612 Lakeside Cir
Edmond, OK 73012-6600

Other practice locations

  • 7405 S Douglas Ave, Oklahoma City, OK 73139-1911 · (405) 601-2691

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1194221242

Shenita R. Jefferson's National Provider Identifier is 1194221242, issued on Apr 5, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Aug 20, 2019.