Doctor Name: | MRS. DOROTHEA LYNN JEFFERSON |
NPI Number: | 1699983544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.N. |
License Number: | 11984 |
Business Practice Address: | 100 Indian Hills Drive Macy, NE - 68039 |
Business Phone Number: | 4028375381 |
Business Fax Number: | 4028374216 |
Mailing Address: | 311 East 10th Street, DECATUR |
State: | NE |
Postal Code: | 68020 |
Phone Number: | 4028375381 |
Fax Number: | 4028374216 |
NPI Enumeration Date: | 05/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 11984 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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. |