| Doctor Name: | NEVADA J JEFFERSON |
| NPI Number: | 1003164708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | |
| Business Practice Address: | 230 Venture Cir Nashville, TN - 372281604 |
| Business Phone Number: | 6154604205 |
| Business Fax Number: | |
| Mailing Address: | 230 Venture Cir, NASHVILLE |
| State: | TN |
| Postal Code: | 372281604 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/28/2012 |
| NPI Last Update Date: | 07/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |