Individual provider · Type 1 NPI
Stacy Duhe Jefferson
Clinical Laboratory Director (Non-physician) · Baytown, TX
NPI number
1841824828
Active
Practice location
1009 Polly Ave.
Baytown, TX 77520
Fax (832) 769-4723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
About NPI 1841824828
Stacy Duhe Jefferson's National Provider Identifier is 1841824828, issued on Feb 27, 2020. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Baytown, TX. The record was last updated on Feb 27, 2020.