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

Wendall Keith Jefferson

Individual provider Contractor · NPI 1801692462

Wendall Keith Jefferson is a Contractor in Phenix City, Alabama. Licensed in Alabama. Registered with an NPI since 2025.

Licensed in
AL
In the registry since
2025

Practice location Address checks out

1719 12th St
Phenix City, AL 36867-6044
Phone: (404) 307-5251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X (AL)

Record details

NPI number1801692462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESMarch 22, 2025
Certification dateMarch 22, 2025
Mailing address1719 12th St, Phenix City, AL 36867-6044

Other providers in Phenix City