Jefferson, Noni Gazelle

Jefferson, Noni Gazelle is an individual health care provider with primary practice located at 2030 Windsor Run Ln , Matthews NC 28105-0054. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Jefferson, Noni Gazelle can be contacted via phone (704) 443-6250.

Contact Information

Primary practice address
2030 Windsor Run Ln Matthews NC 28105-0054
Phone: (704) 443-6250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 248305 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 5012215 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5012215 North Carolina

Profile Details

NPI number 1871140319
LBN Legal business name Jefferson, Noni Gazelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2019
Last updated Oct 17th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871140319 NPPES
North Carolina MEDICAID 0000000

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