Dr Nina Nicole Jefferson, PSYD is a
Psychologist - Clinical based in Monticello, Arkansas. Dr Nina Nicole Jefferson is licensed to practice in Arkansas (license number 15-06P) and her current practice location is
766 Hl Ross Dr, Monticello, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 367-6246.
NPI number for Dr Nina Nicole Jefferson is 1881912137 and her current mailing address is Po Box 509, Dermott, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881912137.
Healthcare Provider's Profile
| Full Name | Dr Nina Nicole Jefferson |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 766 Hl Ross Dr, Monticello, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1881912137
- Provider Enumeration Date: 05/12/2010
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Dr Nina Nicole Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881912137 | NPI | - | NPPES |
| 003100346A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY003323 (Georgia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 15-06P (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nina Nicole Jefferson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nina Nicole Jefferson, PSYD
Po Box 509,
Dermott, AR 71638
Ph: (870) 538-5414 | Dr Nina Nicole Jefferson, PSYD
766 Hl Ross Dr,
Monticello, AR 71655
Ph: (870) 367-6246 |
Reviews and Comments