Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. STACY WAYNE JEFFERSON, LPN-IV
Active Sole ProprietorMR. STACY WAYNE JEFFERSON, LPN-IV is a Licensed Practical Nurse healthcare provider located in GEORGETOWN, Ohio. NPI 1861645574 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · GEORGETOWN, OH
Registration Details
- NPI Number
- 1861645574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2008 (17.619690273216 yrs)
- Last Updated
- Oct 25, 2008
- License
-
PN127734 IV (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
432 N GREEN STGEORGETOWN, OH, 451211011Browse OH providers · Browse ZIP 45121
- Phone
- 9372130588
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in GEORGETOWN, OH
| Name | Credential | NPI |
|---|---|---|
| MRS. ANTOINETTE SOPHIA CLARK | LPN | 1902089717 |
| TERA MICHELE CARLSON | LPN | 1710158951 |
| JENNIFER L HARTLINE | LPN | 1184958951 |
| LORRIA LEWIS | LPN | 1285969261 |
| ELIZABETH A MOLODETZ SCHLUETER | LPN, CDCA, SWA | 1568773364 |
| MRS. TERESA STENGER | LPN | 1588976799 |
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.