Tula Desha Jefferson, RN is a
Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities based in Humble, Texas. Tula Desha Jefferson is licensed to practice in * (Not Available) (license number ) and her current practice location is
14823 Winston Falls Ln, Humble, Texas. She can be reached at her office (for appointments etc.) via phone at
(214) 808-7889.
NPI number for Tula Desha Jefferson is 1881343713 and her current mailing address is 14823 Winston Falls Ln, Humble, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881343713.
Provider's Profile
Full Name | Tula Desha Jefferson |
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Gender | Female |
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Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Location | 14823 Winston Falls Ln, Humble, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881343713
- Provider Enumeration Date: 03/19/2022
- Last Update Date: 07/12/2024
Medical Identifiers
Medical identifiers for Tula Desha Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881343713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 867767 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1144604 (Texas) | Secondary |
320900000X | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities | (* (Not Available)) | 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. Tula Desha 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 |
Tula Desha Jefferson, RN 14823 Winston Falls Ln, Humble, TX 77396-6073 Ph: (214) 808-7889 | Tula Desha Jefferson, RN 14823 Winston Falls Ln, Humble, TX 77396-6073 Ph: (214) 808-7889 |
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