MS. MARCIA M JEFFERSON (NPI# 1831682095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831682095 |
| Entity Type | Individual |
| Full Name | MS. MARCIA M JEFFERSON |
| Credential | NP |
| Practice Address |
6612 E 75th St Indianapolis IN 46250-2875 |
| Mailing Address |
440 E North St Apt 102 Indianapolis IN 46202-3378 |
| Practice Telephone | 3179721180 |
| Mailing Telephone | 7575321051 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
28153215A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71007705A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942542238 | Marcia Jefferson | Specialist | 3810 Bedford Ave, Suite 120, Nashville, TN 37215-2514 | 2013-03-25 |
| Street Address |
6612 E 75TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235195991 | Roger G. Spahr | Family Medicine | 6612 E 75th St, Ste 110, Indianapolis, IN 46250-2875 | 2006-04-21 |
| 1609347210 | St. Vincent Health Wellness and Preventive Care Institute, Inc. | Preventive Medicine | 6612 E 75th St, Indianapolis, IN 46250-2875 | 2018-12-07 |
| 1073004495 | Kathy Zach | Registered Nurse | 6612 E 75th St, Indianapolis, IN 46250 | 2018-05-21 |
| 1972906071 | Kathryn Rae Robson | Chiropractor | 6612 E 75th St, Suite 110, Indianapolis, IN 46250-2875 | 2014-10-02 |
| 1578983631 | Matthew Bartlett | Chiropractor | 6612 E 75th St, 110, Indianapolis, IN 46250-2875 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1538797212 | Keegan M. Hall | Nurse Practitioner | 1050 Wishard Blvd, Indianapolis, IN 46202-2872 | 2020-03-30 |
| 1013473297 | Patricia Justine Irvin | Nurse Practitioner | 2920 N Arlington Ave, Indianapolis, IN 46218-3361 | 2019-02-13 |
| 1518449297 | Victoria Crawford | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-08-30 |
| 1326539966 | Wendy Shokes | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-05-18 |
| 1700375243 | Terri Girt | Nurse Practitioner | 7007 Graham Rd, Indianapolis, IN 46220-4063 | 2018-05-09 |
| 1851895387 | Jessica Birge | Nurse Practitioner | 6401 E Washington St, Indianapolis, IN 46219 | 2018-03-20 |
| 1154830529 | Jeni Sylese Grundy | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-09-28 |
| 1396261749 | Leah Michelle Moulder | Nurse Practitioner | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2017-08-17 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on MS. MARCIA M JEFFERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.