Provider Demographics
NPI:1861893471
Name:JEFFERSON, APRIL DENISE (RN)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:DENISE
Last Name:JEFFERSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:DENISE
Other - Last Name:GUINN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:6701 CHERI LYNNE DR
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45415-2118
Mailing Address - Country:US
Mailing Address - Phone:937-742-7322
Mailing Address - Fax:
Practice Address - Street 1:6701 CHERI LYNNE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45415-2118
Practice Address - Country:US
Practice Address - Phone:937-742-7322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH255704163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse