IndividualActive
Conway Jefferson
NPI 1700623311 · Personal Care Attendant · Indianapolis, IN
Provider details
- NPI number
- 1700623311
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 24-017483-1 (IN)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
6320 Monteo Dr
Indianapolis, IN 46217-2768
Phone: (317) 619-9915
Approximate (ZIP-level) locationGet directions
Mailing address
6320 Monteo Dr
Indianapolis, IN 46217-2768
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.