Individual provider · Type 1 NPI
Penny M. Jefferson, RN
Administrator Registered Nurse · Goodyear, AZ
NPI number
1508664889
Active
Practice location
13829 W Windsor Ave
Goodyear, AZ 85395-3149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 239909 (AZ) |
Administrator Registered Nurse: Definition to come...
About NPI 1508664889
Penny M. Jefferson, RN's National Provider Identifier is 1508664889, issued on Mar 4, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Goodyear, AZ. The record was last updated on Mar 4, 2025.