| NPI | 1487153508 |
|---|---|
| Former Name | FELICIA JEFFERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1121328) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MN 236270) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95135099) | |
| 163W00000X Registered Nurse (Licence: TX 642551) | |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2023-07-31 |