Jefferson, Wendy Crystal

Jefferson, Wendy Crystal is an sole proprietor health care provider with primary practice located at 1550 S Bassett St , Detroit MI 48217-1643. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Administrator. Nursing Service Providers / Registered Nurse is her primary health care specialty. Jefferson, Wendy Crystal can be contacted via phone (313) 282-1961.

Contact Information

Primary practice address
1550 S Bassett St Detroit MI 48217-1643
Phone: (313) 282-1961
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704156995 Michigan
Nursing Service Providers / Administrator 163WA2000X 4704156995 Michigan

Profile Details

NPI number 1033415484
LBN Legal business name Jefferson, Wendy Crystal
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2011
Last updated Feb 2nd, 2011 - about 13 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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