Michael D. Jefferson
Licensed Practical Nurse · Decatur, IL
NPI number
1972709806
Practice location
151 N Main StDecatur, IL 62523-1206
- Phone
- (217) 362-6262
NPI record
- NPI
- 1972709806
- Entity type
- Individual (Type 1)
- Enumeration date
- June 26, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
— | IL |
Mailing address
PO Box 710Decatur, IL 62525-0710
- Phone
- (217) 362-6262
About Michael Jefferson
Michael D. Jefferson is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 151 N Main St, Decatur, IL 62523-1206. The NPI number 1972709806 was assigned on June 26, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Michael D. Jefferson?
The NPI number is 1972709806.
What is the phone number of Michael Jefferson?
The phone number listed for the practice location is (217) 362-6262.
Where is Michael Jefferson located?
151 N Main St, Decatur, IL 62523-1206.
What is the taxonomy code for Michael Jefferson?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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