NPI 1023709987

Kristy Jefferson, LPN

Practitioner Prevention Professional Tucson, AZ

Practice location

Address: 102 N Plumer Ave, Tucson, AZ 85719-5906
Phone: (520) 225-3284
Fax: (520) 225-3201
Mailing address: 4973 W New Shadow Way, Marana, AZ 85658-4293

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 284195 (AZ)

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Registry record

NPI: 1023709987
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 May 2023
Record last updated: 19 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.