Shenita R Jefferson Valid NPI
Individual provider · Peer Specialist · Edmond, OK
- NPI
- 1194221242
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-04-05
- Last updated
- 2019-08-20
Practice location
700 Parkhurst Ter
Edmond, OK 73003-5062
(405) 822-3995