Search › Michigan › 171M00000X
Kelly Jefferson, BS
NPI 1841171295 · on the registry since 2025 · sole proprietor
Practice
- Address
- 12800 E Warren Ave
Detroit, MI 48215 - Phone
- (877) 242-4140
- Organisation at this address
- Genoa Healthcare Llc
Northeast Guidance Center
Northeast Guidance Center
Northeast Guidance Center
Detroit Community Health Connection, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan