Individual provider · Type 1 NPI

Marie Jefferson

Licensed Practical Nurse · Modena, NY

NPI number 1457566713 Active

Practice location

2139 State Route 32
Modena, NY 12548-5213

Call (845) 883-4227 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X270543-1 (NY)

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 1457566713

Marie Jefferson's National Provider Identifier is 1457566713, issued on May 11, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Modena, NY. The record was last updated on Jul 9, 2007.