Mr. Stacy Wayne Jefferson, LPN-IV
Mr. Stacy Wayne Jefferson, LPN-IV is a Licensed Practical Nurse in Georgetown, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2008
Practice location Address checks out
432 N Green StGeorgetown, OH 45121-1011
Phone: (937) 213-0588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence PN127734 IV (OH) |
|---|
Record details
| NPI number | 1861645574 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPN-IV |
| Sole proprietor | Yes |
| NPI enumerated | October 25, 2008 |
| Last updated in NPPES | October 25, 2008 |
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