Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENOTTA JEFFERSON
Active Sole ProprietorRENOTTA JEFFERSON is a 202K00000X healthcare provider located in WORTON, Maryland. NPI 1891489852 is currently active in the NPPES registry. Verify at CMS.
202K00000X · WORTON, MD
Registration Details
- NPI Number
- 1891489852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2023 (3.2260442886242 yrs)
- Last Updated
- Jun 5, 2023
- License
-
S6K2D8M4 (DE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25054 LAMBS MEADOW RDWORTON, MD, 216781919Browse MD providers · Browse ZIP 21678
- Phone
- 4434806608
- Primary Specialty
-
202K00000X
202K00000X
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.