Doctor Name: | NIKOLE MARIE JEFFRIES |
NPI Number: | 1144560897 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | LPN 17499 |
Business Practice Address: | 480 Central Ave Naval Health Clinic Hawai'i Pearl Harbor, HI - 96860 |
Business Phone Number: | 5413900029 |
Business Fax Number: | |
Mailing Address: | 2040 Sw Pheasant Dr, ALOHA |
State: | OR |
Postal Code: | 970063838 |
Phone Number: | 5413900029 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2013 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | LPN 17499 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |