CANDACE JEFFERSON
NPI 1992158620
Licensed Practical Nurse in Detroit, MI

Q: What is Candace Jefferson's NPI number?

The NPI number for Candace Jefferson is 1992158620. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Q: What is Candace Jefferson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Candace Jefferson was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 18, 2016

14046 STAHELIN AVE, DETROIT, MI 48223(313) 704-5431 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Candace Jefferson NPPES

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

CANDACE JEFFERSON (NPI 1992158620) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703106526) and active in the NPI registry since July 2016. She maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1992158620

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameCANDACE JEFFERSON

Location Address14046 STAHELIN AVEDetroit, MI 48223-2985

Mailing Address14046 Stahelin AveDetroit, MI 48223-2985 · (313) 704-5431

Phone(313) 704-5431

Sole ProprietorNo

Enumeration DateJuly 18, 2016

Last NPPES UpdateMarch 7, 2022

NPPES CertifiedMarch 7, 2022

✔ NPI 1992158620 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 MI · 4703106526

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.

14046 STAHELIN AVE, Detroit, MI 48223

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Secondary Practice Location 1

Location 144984 Saltz RdCanton, MI 48187-2972 · Phone (313) 704-5431

Other Providers at the Same Location NPPES

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

LACHELLE SOPHIA CARROLL REGISTER NURSE

Registered Nurse (Home Health)

14046 STAHELIN AVE
DETROIT, MI 48223

Wayne County (313) 549-2916

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 Candace Jefferson's NPI number?

The NPI number for Candace Jefferson is 1992158620. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Where is Candace Jefferson located?

Candace Jefferson practices at 14046 Stahelin Ave, Detroit, MI 48223. The listed phone number is (313) 704-5431.

What is Candace 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 Candace Jefferson was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.