Mutcherson-Jefferies, Cannella A
Mutcherson-Jefferies, Cannella A is an individual health care provider with primary practice located at 278 Lasalle Lefall Dr , Quincy FL 32351-5324. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Mutcherson-Jefferies, Cannella A can be contacted via phone (850) 875-7200.Contact Information
Primary practice address
278 Lasalle Lefall Dr
Quincy FL 32351-5324
Phone: (850) 875-7200
Fax: (850) 875-7216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | RN1856912 | Florida |
Profile Details
| NPI number | 1164924445 |
|---|---|
| LBN Legal business name | Mutcherson-Jefferies, Cannella A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2018 |
| Last updated | Mar 2nd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164924445 | NPPES |
| Florida | MEDICAID | 1346446895 |
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