Jefferson, Brian Keith

Jefferson, Brian Keith is an individual health care provider with primary practice located at 200 Medical Park Dr Ste 430, Concord NC 28025-2982. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Jefferson, Brian Keith can be contacted via phone (704) 403-5890.

Contact Information

Primary practice address
200 Medical Park Dr Ste 430 Concord NC 28025-2982
Phone: (704) 403-5890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5002525 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5002525 North Carolina

Profile Details

NPI number 1093886996
LBN Legal business name Jefferson, Brian Keith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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