Lakeesha Monique Jefferson, RN, LCSW

Individual provider Active NPI Registered Nurse · Elk Grove, CA

NPI 1912200098 · NPPES record last updated May 8, 2026

Key facts

NPI
1912200098
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
95450984 (CA)
Practice address
PO Box 1383
Elk Grove, CA 95759-1383
Phone
(713) 816-7944
NPI assigned
Dec 13, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95450984CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of California Prison Industry Authority Past Accepting new patients
Corrections and Rehabilitation-Headquarters Past
since Apr 26, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95450984 CA Yes

Addresses

Primary practice location

PO Box 1383
Elk Grove, CA 95759-1383

Mailing address

PO Box 1383
Elk Grove, CA 95759-1383
Phone (713) 816-7944

Other providers in Elk Grove, CA

All providers in Elk Grove, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.