ALECIA JEFFERSON APRN CDCES NPI 1811281306

NPI Information

NPI: 1811281306
Provider Name: ALECIA JEFFERSON, APRN, CDCES
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9449 S KEDZIE AVE # 560
EVERGREEN PARK, IL
ZIP 60805
Phone: (312) 488-9392
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Alecia Jefferson, APRN, CDCES is a family nurse practitioner in Evergreen Park, IL. Alecia Jefferson, APRN, CDCES NPI is 1811281306. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9449 S KEDZIE AVE # 560
EVERGREEN PARK, IL
ZIP 60805-325
Phone: (312) 488-9392

The NPI 1811281306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/2/2011 and was last updated on 6/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	21700682	ILLINOIS	No
2	363LF0000X	Nurse Practitioner	Family	209.008722	ILLINOIS	No
3	363LF0000X	Nurse Practitioner	Family	209008722	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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