Kalisha Shevoin Jefferson
Home Health in Saint Augustine, FL. Individual provider (NPI-1).
NPI number1982169330
StatusActive
Last updated in NPPESFeb 8, 2019
Details
- NPI
- 1982169330
- Entity type
- Individual (NPI-1)
- Name
- Kalisha Shevoin Jefferson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2019
- Last updated
- Feb 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | CNA23616 | FL | Yes |
Practice location
565 Herbert StSaint Augustine, FL 32084-4074
Phone 904-466-8993
Mailing address
565 Herbert StSaint Augustine, FL 32084-4074
Phone 904-466-8993
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Other Home Health Agency providers in Saint Augustine, FL
- Brittany BatesNPI 1710697370
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- Melissa RomanNPI 1225854813
All 6 Home Health Agency providers in Saint Augustine · All 967 providers in Saint Augustine
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