What is Renae Jefferson's NPI number?

Renae Jefferson's National Provider Identifier (NPI) is 1992104590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Renae Jefferson's specialty?

Renae Jefferson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Renae Jefferson located?

Renae Jefferson's practice location on file with NPPES is 1212 N California St, Stockton, CA 95202-1552.

What is Renae Jefferson's phone number?

The practice phone number listed in the NPPES registry for Renae Jefferson is (209) 468-2343.

Is Renae Jefferson's NPI active?

Yes — Renae Jefferson's NPI (1992104590) is active in the NPPES registry as of the last update on 2024-11-06.

IndividualActive

Renae Jefferson

NPI 1992104590 · Peer Specialist · Stockton, CA

Renae Jefferson is a Peer Specialist provider in Stockton, CA (NPI 1992104590).

Provider details

NPI number: 1992104590
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: MPSS-PWOO12 (CA)

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense MPSS-PWOO12 (CA)
Other Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1212 N California St

Stockton, CA 95202-1552

Phone: (209) 468-2343

Street-level locationGet directions

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Mailing address