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Malika Adams Jefferson

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

315 Berry Rd # T-1777, Houston, TX 77022-3209

PECOS Enrollment

Based on the most recent information from CMS, provider Malika Adams Jefferson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1528490927
Provider Type
Individual
Full Name
Jefferson, Malika Adams
Title
Mrs.
Credential
FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/7/2013
Last Updated
10/10/2024

Contact Information

Practice Location

315 Berry Rd # T-1777, Houston, TX 77022-3209

(713) 742-8151

(713) 695-2629

Mailing Location

PO Box 66308, Houston, TX 77266-6308

(713) 967-8699

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP124142 Texas
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 718205 Texas
Code 363LS0200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP124142 Texas

Malika Adams Jefferson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Y-Family Healthcare Pllc

Dutch, Charles M

Jones, Ladonna Renee

Tehrani, Priscilla

Robles, Melissa Guadalupe

Hernandez Alfonso, Hermes Daniel

Rodriguez Mendoza, Jorge Luis

Lewis, Erica Lynn

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