MEDICARE: MS. KAREN LEE JEFFERSON CERTIFIED MIDWIFE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	F000928	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285724088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN LEE JEFFERSON CERTIFIED MIDWIFE

Provider Business Mailing Address
First Line	:	688 PRESIDENT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1208
Country	:	US
Telephone Number	:	718-230-4789
Fax Number	:	866-593-2634

Provider Business Practice Location Address
First Line	:	688 PRESIDENT ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-1208
Country	:	US
Telephone Number	:	718-230-4789
Fax Number	:	866-593-2634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	11/28/2015

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