Jefferson, Alecia

Jefferson, Alecia is an sole proprietor health care provider with primary practice located at 9449 S Kedzie Ave # 560 , Evergreen Park IL 60805-2325. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jefferson, Alecia can be contacted via phone (312) 488-9392.

Contact Information

Primary practice address
9449 S Kedzie Ave # 560 Evergreen Park IL 60805-2325
Phone: (312) 488-9392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 21700682 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.008722 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209008722 Illinois

Profile Details

NPI number 1811281306
LBN Legal business name Jefferson, Alecia
Credentials APRN, CDCES
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2011
Last updated Jun 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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