Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE JEFFERSON
Active Sole ProprietorNICOLE JEFFERSON is a Physical Disabilities Residential Treatment Facility healthcare provider located in SEGUIN, Texas. NPI 1174023063 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · SEGUIN, TX
Registration Details
- NPI Number
- 1174023063
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2018 (8.5233559971959 yrs)
- Last Updated
- Aug 13, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
529 GRAYSON LNSEGUIN, TX, 781553084Browse TX providers · Browse ZIP 78155
- Phone
- 2542894071
- Fax
- 8304334219
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
- Additional Specialty
- Assisted Living Facility
- Additional Specialty
- Psychiatric Residential Treatment Facility
- Additional Specialty
- Emotionally Disturbed Children Residential Treatment
- Additional Specialty
- Physical Disabilities Residential Treatment Facility
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.