Provider Demographics
NPI:1457030520
Name:JEFFERSON, APRIL CAMILLE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:CAMILLE
Last Name:JEFFERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11505 CHERRY TREE CROSSING RD UNIT 376
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20623-7515
Mailing Address - Country:US
Mailing Address - Phone:202-288-8554
Mailing Address - Fax:
Practice Address - Street 1:7116 FOSTER ST
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-2310
Practice Address - Country:US
Practice Address - Phone:202-288-8554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula