1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Licensed Practical Nurse
  6. NPI Profile

DAMECIA L JEFFERSON
NPI 1174136139
Licensed Practical Nurse in Dallas, TX

Active since August 28, 2020
706 MANNINGTON DR, DALLAS, TX 75232(504) 206-8026 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Damecia L Jefferson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAMECIA L JEFFERSON (NPI 1174136139) is an individual licensed practical nurse in Dallas, Texas, licensed in Texas (1009860) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1174136139
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDAMECIA L JEFFERSON
Location Address706 MANNINGTON DRDallas, TX 75232-3150
Mailing Address706 Mannington DrDallas, TX 75232-3150 · (504) 206-8026
Phone(504) 206-8026
Sole ProprietorNo
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1174136139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TX · 1009860
Definition
A licensed practical nurse 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.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 1009860 (TX)
706 MANNINGTON DR, Dallas, TX 75232
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Damecia Jefferson's NPI number?

The NPI number for Damecia Jefferson is 1174136139. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Damecia Jefferson located?

Damecia Jefferson practices at 706 Mannington Dr, Dallas, TX 75232. The listed phone number is (504) 206-8026.

What is Damecia Jefferson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Damecia Jefferson was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.