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

Malcolm Xavier Jefferies Sr.

Individual provider Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1578223400

Malcolm Xavier Jefferies Sr. is a Nurse Practitioner in Catonsville, Maryland. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

4 Rolling Crossroads
Catonsville, MD 21228
Phone: (410) 869-3344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R211193 (MD)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1578223400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 20, 2021
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address638 Frederick Rd, Catonsville, MD 21228-4625

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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