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MS. SHAWNNEL JEWEL JEFFERSON LPN
NPI 1720486368
Licensed Practical Nurse in Rochester, NY

Active since December 15, 2014
65 HOELTZER ST, ROCHESTER, NY 14605(585) 520-4229 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2020, Dec 18, 2015 (2 updates tracked since 2015).

About Ms. Shawnnel Jewel Jefferson Lpn NPPES

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

MS. SHAWNNEL JEWEL JEFFERSON LPN (NPI 1720486368) is an individual licensed practical nurse in Rochester, New York, licensed in New York (320385) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1720486368
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. SHAWNNEL JEWEL JEFFERSONCredential: LPN
Location Address65 HOELTZER STRochester, NY 14605-1207
Mailing Address65 Hoeltzer StRochester, NY 14605-1207 · (585) 520-4229
Phone(585) 520-4229
Sole ProprietorYes
Enumeration DateDecember 15, 2014
Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1720486368 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 · 320385
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.
65 HOELTZER ST, Rochester, NY 14605
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Other Identifiers 1

Medicaid04042426NY

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 Shawnnel Jefferson's NPI number?

The NPI number for Shawnnel Jefferson is 1720486368. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Shawnnel Jefferson located?

Shawnnel Jefferson practices at 65 Hoeltzer St, Rochester, NY 14605. The listed phone number is (585) 520-4229.

What is Shawnnel 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 Shawnnel Jefferson was last updated on September 11, 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.