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Agatha Jefferson, FNP

Nurse Practitioner in Northfield, IL · enumerated 2012 · practices at Walgreen Co.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083967624

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Registry record

Entity type Individual (Type 1)
Name Agatha Jefferson
Credential FNP
Sex Female
Practice address 1825 Willow Rd, Northfield, IL, 60093
Phone (847) 825-4515
Fax (847) 825-4515
Enumeration date Oct 19, 2012
Last updated in NPPES Jan 27, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 209009416 (IL) Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 277-001682 (IL) Primary
FNP · Family Nurse Practitioner: A nurse practitioner certified in family practice across the lifespan. About the FNP credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Agatha Jefferson?
The National Provider Identifier (NPI) for Agatha Jefferson is 1083967624, a Type 1 (individual) record in the CMS NPPES registry.
Where does Agatha Jefferson practice?
The practice location on file with NPPES is in Northfield, IL. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-27.