MR. STACY JEFFERSON, LPN-IV

Licensed Practical Nurse

Active Individual
NPI: 1861645574

Practice Address

432 N GREEN ST
Georgetown, OH 45121

Phone: (937) 213-0588

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes PN127734 IV (OH)

Frequently Asked Questions

NPI 1861645574 is the National Provider Identifier for MR. STACY JEFFERSON, LPN-IV, a Licensed Practical Nurse provider located in Georgetown, OH. This NPI was enumerated on October 25, 2008.
MR. STACY JEFFERSON, LPN-IV practices at 432 N GREEN ST, Georgetown, OH 45121.

Quick Facts

NPI
1861645574
Type
Individual
Enumerated
Oct 25, 2008
Last Updated
Oct 25, 2008

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