Search › Ohio › 164W00000X
Stacy Jefferson, LPN-IV
NPI 1861645574 · on the registry since 2008 · sole proprietor
Practice
- Address
- 432 N Green St
Georgetown, OH 45121 - Phone
- (937) 213-0588
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-25
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 Ohio