| NPI | 1316525959 |
|---|---|
| Professional Name | LASHANDA IDA JEFFERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29424) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015985) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-08-17 |