MR. Stacy Wayne Jefferson, LPN-IV is a licensed practical nurse in Georgetown, OH. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MR. Stacy Wayne Jefferson, LPN-IV NPI is 1861645574. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
432 N GREEN ST
GEORGETOWN, OH
ZIP 45121-011
Phone: (937) 213-0588
The enumeration date for this NPI number is 10/25/2008 and was last updated on 10/25/2008.