National Provider Identifier
Shawnnel Jewel Jefferson, LPN
Shawnnel Jewel Jefferson, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 520-4229.
Profile Overview
- NPI
- 1720486368
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 15, 2014
- Last Updated
- September 11, 2020
Practice Location
- 65 Hoeltzer St
- Rochester, NY 14605-1207
Phone: (585) 520-4229
Specialties
- Licensed Practical Nurse (164W00000X)
Endpoints
- Home
Other Url | Rochester, NY 14605
Full Record
- NPI
- 1720486368
- Entity Type
- Individual
- Last Name
- Jefferson
- First Name
- Shawnnel
- Middle Name
- Jewel
- Name Prefix
- MS.
- Credential
- LPN
- Mailing Street Address
- 65 Hoeltzer St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-1207
- Mailing Country
- US
- Mailing Phone
- (585) 520-4229
- Practice Street Address
- 65 Hoeltzer St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-1207
- Practice Country
- US
- Practice Phone
- (585) 520-4229
- Enumeration Date
- December 15, 2014
- Last Updated
- September 11, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 11, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 04042426 (NY)