National Provider Identifier

Maureen Amie Jefferson, LICENSED PRACTICAL N

Maureen Amie Jefferson, LICENSED PRACTICAL N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 201-2615.

NPI 1770913147Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1770913147
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 20, 2013
Last Updated
November 20, 2013

Practice Location

  • 154 Vollmer Parkway
  • Rochester, NY 14623

Phone: (585) 201-2615

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1770913147
Entity Type
Individual
Last Name
Jefferson
First Name
Maureen
Middle Name
Amie
Name Prefix
Miss
Credential
LICENSED PRACTICAL N
Mailing Street Address
154 Vollmer Parkway
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623
Mailing Country
US
Mailing Phone
(585) 201-2615
Practice Street Address
154 Vollmer Parkway
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623
Practice Country
US
Practice Phone
(585) 201-2615
Enumeration Date
November 20, 2013
Last Updated
November 20, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)