MARIE JEFFERSON
NPI 1457566713
Licensed Practical Nurse in Modena, NY

Active since May 11, 2007
2139 STATE ROUTE 32, MODENA, NY 12548(845) 883-4227 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie Jefferson NPPES

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

MARIE JEFFERSON (NPI 1457566713) is an individual licensed practical nurse in Modena, New York, licensed in New York (270543-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1457566713
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARIE JEFFERSON
Location Address2139 STATE ROUTE 32Modena, NY 12548-5213
Mailing Address2139 State Route 32Modena, NY 12548-5213
Sole ProprietorYes
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1457566713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 270543-1
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.
2139 STATE ROUTE 32, Modena, NY 12548

Other Identifiers 1

Medicaid02322952NY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
2139 STATE ROUTE 32
MODENA, NY 12548

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 Marie Jefferson's NPI number?

The NPI number for Marie Jefferson is 1457566713. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Marie Jefferson located?

Marie Jefferson practices at 2139 State Route 32, Modena, NY 12548. The listed phone number is (845) 883-4227.

What is Marie 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 Marie Jefferson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.