Most Relevant Information
Provider Data
| NPI Number: | 1003663386 |
| Provider Name: | CIERRA JEFFERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 251J00000X |
| Specialty: | Nursing Care |
| License Number: | NRSA-00117 |
Most Important Dates
| Enumeration Date: | 05/03/2024 |
| Last Updated: | 05/03/2024 |
Provider Practice Location
8712 GILLY WAY
RANDALLSTOWN
MD
211335310
Practice Location Phone/Fax
| Phone: | 6672739933 |
| Fax: |
Provider Mailing Location
8712 GILLY WAY
RANDALLSTOWN
MD
211335310
Provider Mailing Phone/Fax
| Phone: | 6672739933 |
| Fax: |