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NPI Profile for PATRICIA JEFFERSON in SEWAREN, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Registered Nurse |
163W00000X |
| NPI # | 1083083851 |
|
| Status | Active | |
| Credentials | MSED RN LCADC CCS | |
| Entity | Individual | |
| Enumeration date | 09/22/2015 | |
| Last updated | 05/30/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PATRICIA JEFFERSON
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