Active NPIIndividual providerSole proprietor

Patricia Jefferson, MSED RN LCADC CCS

Counselor, Professional in Sewaren, New Jersey

NPI Number1083083851
Practice location
40 Woodbridge Ave, Sewaren, NJ 07077-1351
Fax
—
Last updated
May 30, 2017

Patricia Jefferson is a Counselor, Professional based in Sewaren, NJ. Patricia Jefferson practices in Sewaren, NJ and has the professional credentials of MSED RN LCADC CCS. The NPI Number for Patricia Jefferson is 1083083851 and holds a License No. 26NR14629700 (NJ). The current practice location address for Patricia Jefferson is 40 Woodbridge Ave, Sewaren, NJ 07077-1351 and can be reached out via phone at 732-636-1931.

Provider Profile Details

NPI Number
1083083851
Provider Name
Patricia Jefferson
Credential
MSED RN LCADC CCS
Provider Entity Type
Individual
Gender
Female
Address
40 Woodbridge Ave, Sewaren, NJ 07077-1351
Phone Number
732-636-1931
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
September 22, 2015
Last Update Date
May 30, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Woodbridge Ave
Sewaren, NJ 07077-1351
Zip
07077-1351
Phone Number
732-636-1931
Sewaren, NJ 07077Get directions →

Provider Business Mailing Address Details

Address
40 Woodbridge Ave
Sewaren, NJ 07077-1351
City
Sewaren
State
NJ
Zip
07077-1351
Phone Number
732-636-1931

License Information

License Number (1)
26NR14629700
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Patricia Jefferson, MSED RN LCADC CCS?

The NPI number of Patricia Jefferson, MSED RN LCADC CCS is 1083083851. It was assigned on September 22, 2015 and is currently active in the NPPES registry.

What is the specialty of Patricia Jefferson, MSED RN LCADC CCS?

Patricia Jefferson, MSED RN LCADC CCS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 26NR14629700.

Where does Patricia Jefferson, MSED RN LCADC CCS practice?

The practice location is 40 Woodbridge Ave, Sewaren, NJ 07077-1351. The office can be reached at 732-636-1931 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083083851 directly on the NPPES registry website.

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