Susanne Jefferson, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN650395 Issued in TX

Practice address

7777 Forest LN
Medical City Dallas
Dallas, TX 75230

Phone

(972) 566-7000

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1366516148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670039",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753670039",
            "telephone_number": "214-378-9898",
            "fax_number": "214-378-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "MEDICAL CITY DALLAS",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "972-566-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "SUSANNE",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "RN650395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lajasmine Jefferson
• Marian Hubbard Jefferson, D MIN., LCDC
• Milan Auriel Jefferson, CRNA
• Porchia Jefferson
• Shandelle Jefferson, LPC
• Jeffery Fritz MD PA
• Jeffery Keith Krueger M D P a
• Bradley Dean Jeffery, MS CCC SLP
• Hailey Jeffery, RN
• Jeffrey a Fearon MD P a

• Registered Nurse First Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.