Individual provider · NPI-1
Cherry Charlette Jefferson, RN BSN
Registered Nurse, General Practice · Cypress, TX
NPI number1255934543
StatusActive
Last updated in NPPESNov 18, 2020
Details
- NPI
- 1255934543
- Entity type
- Individual (NPI-1)
- Name
- Cherry Charlette Jefferson
- Credential
- RN BSN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2020
- Certification date
- Nov 18, 2020
- Last updated
- Nov 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 905917 | TX | Yes |
Practice location
17919 Obelisk Bay DrCypress, TX 77429-5626
Phone 832-584-7114
Mailing address
17919 Obelisk Bay DrCypress, TX 77429-5626
Phone 832-584-7114
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