1083993414 NPI number — BRITTANY SANTANA JEFFERSON LPC

Table of content: BRITTANY SANTANA JEFFERSON LPC (NPI 1083993414)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083993414 NPI number — BRITTANY SANTANA JEFFERSON LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JEFFERSON
Provider First Name:
BRITTANY
Provider Middle Name:
SANTANA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083993414
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1707 LINWOOD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PARAGOULD
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72450-5364
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-604-4455
Provider Business Mailing Address Fax Number:
888-977-2956

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1707 LINWOOD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARAGOULD
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72450-5364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-604-4455
Provider Business Practice Location Address Fax Number:
888-977-2956
Provider Enumeration Date:
08/16/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  A2201018 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com