Ebony Jefferson
Case Manager/Care Coordinator in Natchitoches, LA. Individual provider (NPI-1).
NPI number1669924536
StatusActive
Last updated in NPPESMay 1, 2018
Details
- NPI
- 1669924536
- Entity type
- Individual (NPI-1)
- Name
- Ebony Jefferson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 26, 2016
- Last updated
- May 1, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
344 South Dr Ste ANatchitoches, LA 71457-5027
Phone 318-352-5757
Mailing address
344 South Dr Ste ANatchitoches, LA 71457-5027
Phone 318-352-5757
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 129 Case Manager/Care Coordinator providers in Natchitoches · All 836 providers in Natchitoches
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