Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CORNELL LEON JEFFERSON
Active Sole ProprietorCORNELL LEON JEFFERSON is a Psychiatric Residential Treatment Facility healthcare provider located in LAS VEGAS, Nevada. NPI 1396004263 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · LAS VEGAS, NV
Registration Details
- NPI Number
- 1396004263
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2012 (14.296069252932 yrs)
- Last Updated
- May 11, 2012
- License
-
320800000X (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4915 E RUSSELL RD APT 125LAS VEGAS, NV, 891202387Browse NV providers · Browse ZIP 89120
- Phone
- 7027880091
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
Other Psychiatric Residential Treatment Facility Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| STEPHAN MELANCON | — | 1740497106 |
| BEVERLY FELIX | — | 1912334012 |
| KIERA HALL | — | 1780124503 |
| MALAIKA TAMU HADLEY JAFFE | — | 1811478712 |
| LATOYA RODGERS | — | 1912471814 |
| NASTASSJA LAWRENCE | — | 1952042293 |
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.