NPI 1174136139

Damecia L Jefferson

Practitioner Licensed Practical Nurse Dallas, TX

Practice location

Address: 706 Mannington Dr, Dallas, TX 75232-3150
Phone: (504) 206-8026

Registered specialties (2)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 1009860 (TX)

Other Licensed Practical Nurse providers in Texas →

Licensed Vocational Nurse

Nursing Service Providers Taxonomy 164X00000X Licence 1009860 (TX)

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Registry record

NPI: 1174136139
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2020
Record last updated: 28 Aug 2020

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.