Most Relevant Information
Provider Data
| NPI Number: | 1003663238 |
| Provider Name: | SHAYNE MICHAEL JEFFERSON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 201900571RN |
Most Important Dates
| Enumeration Date: | 05/06/2024 |
| Last Updated: | 05/06/2024 |
Provider Practice Location
2600 SW HOLDEN ST
SEATTLE
WA
981263505
Practice Location Phone/Fax
| Phone: | 2069337299 |
| Fax: | 2069337201 |
Provider Mailing Location
2600 SW HOLDEN ST
SEATTLE
WA
981263505
Provider Mailing Phone/Fax
| Phone: | 2069337299 |
| Fax: | 2069337201 |