Jefferson, Nicole

Jefferson, Nicole is an sole proprietor health care provider with primary practice located at 529 Grayson Ln , Seguin TX 78155-3084. She recently has 6 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Ambulatory Health Care Facilities / Adult Day Care. Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities is her primary health care specialty. Jefferson, Nicole can be contacted via phone (254) 289-4071.

Contact Information

Primary practice address
529 Grayson Ln Seguin TX 78155-3084
Phone: (254) 289-4071
Fax: (830) 433-4219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X

Profile Details

NPI number 1174023063
LBN Legal business name Jefferson, Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2018
Last updated Aug 13th, 2023 - about last year

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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