MR. STACY WAYNE JEFFERSON


Address: 432 N Green St, Georgetown, OH 45121-1011
Phone: 9372130588

MR. STACY WAYNE JEFFERSON (NPI# 1861645574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861645574
Entity Type Individual
Full Name MR. STACY WAYNE JEFFERSON
Credential LPN-IV
Practice Address 432 N Green St
Georgetown
OH 45121-1011
Practice Telephone 9372130588
Mailing Telephone 9372130588
Enumeration Date 2008-10-25
Last Update Date 2008-10-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse PN127734 IV OH Nursing Service Providers

Other Providers STACY JEFFERSON

NPI Name Taxonomy Address Enumeration
1841824828 Stacy Duhe Jefferson Counselor 1009 Polly Ave., Baytown, TX 77520 2020-02-27
1720492028 Stacy Antoinette Jefferson Family Medicine 180 S 3rd St, Suite 300, Belleville, IL 62220-1952 2014-06-13

Office Location

Street Address 432 N GREEN ST
City GEORGETOWN
State OH
Zip Code 45121-1011

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649415373 April C Jefferson Nurse's Aide 432 N Green St, Georgetown, OH 45121-1011 2008-12-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417324609 Jennifer A Shaw Psychologist 9231 Hamer Road, Brown County Educational Service Center, Georgetown, OH 45121 2015-08-24
1760880926 Ashley Marcia Gardner-attinger Personal Emergency Response Attendant 9321-b Hamer Rd, Georgetown, OH 45121 2014-12-19
1447686753 Ivan D Mcfann Jr. Licensed Practical Nurse 10778 Rolling Acres Drive, Georgetown, OH 45121 2013-09-18
1851651798 Pamela J Kelch Registered Nurse 17 Wood Cliff Way, Georgetown, OH 45121 2012-05-25
1194027557 Adams Brown Counties Economic Oppt Inc Clinic/Center 406 W. Plum Street, Georgetown, OH 45121 2010-11-17
1255590972 Nancy Taylor Home Health Aide 201 Meadow Spring Dr, Georgetown, OH 45121 2008-06-06
1770796658 Gwen S Courts Counselor 12525 New Hope White Oak Station Rd, Georgetown, OH 45121 2007-05-08
1770511511 Southern Ohio Health Services Network Obstetrics & Gynecology 5162 St. Rt. 125, Georgetown, OH 45121 2006-06-29
1073513206 Georgetown Volunteer Life Squad Association Ambulance 821 Mt. Orab Pike, Georgetown, OH 45121 2005-07-29
1700881653 Ene G George Obstetrics & Gynecology 5162 St Rt, Georgetown, OH 45121 2005-06-16
Find all providers in zip 45121

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922584309 Donna Egolf Licensed Practical Nurse 21150 Airport Rd, Georgetown, DE 19947-5573 2018-07-18
1447610308 Felicia Cromedy Licensed Practical Nurse 264 Handy Hill Dr, Georgetown, SC 29440-6049 2016-03-03
1568868677 Marcia Ann Coye Licensed Practical Nurse 1062 State Route 26, Georgetown, NY 13072-6615 2014-11-17
1033537279 Devon Renee Carrington Licensed Practical Nurse 10332 Us Highway 68, Georgetown, OH 45121-8889 2014-04-04
1447686753 Ivan D Mcfann Jr. Licensed Practical Nurse 10778 Rolling Acres Drive, Georgetown, OH 45121 2013-09-18
1982953667 Brianne Elizabeth Kirker Licensed Practical Nurse 309 Andrews Ave, Georgetown, OH 45121-1003 2012-09-10
1588976799 Teresa Stenger Licensed Practical Nurse 607 E Grant Ave, Georgetown, OH 45121-9488 2010-07-06
1427388123 Laura Lee Olin Licensed Practical Nurse 3991 Mill Rd, Georgetown, NY 13072-3121 2010-01-04
1982933677 Cynthia Lou Martin Licensed Practical Nurse 238 Upham Rd, Georgetown, NY 13072-3179 2009-12-09
1285969261 Lorria Lewis Licensed Practical Nurse 5582 Wahlsburg East Rd, Georgetown, OH 45121-9246 2009-10-08
Find all providers in GEORGETOWN

Competitor

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City GEORGETOWN
Zip Code 45121

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Dataset Information

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.

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