Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fannie Jefferson, MA

Individual provider Counselor · NPI 1508511460

Fannie Jefferson, MA is a Counselor in Memphis, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2579 Douglass Ave
Memphis, TN 38114-2532
Phone: (901) 576-3224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1508511460
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedFebruary 18, 2022
Last updated in NPPESFebruary 18, 2022
Certification dateFebruary 18, 2022
Mailing address2220 Union Ave, Memphis, TN 38104-4315

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