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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KHADIJAH KIANA JEFFERSON

Active Sole Proprietor

KHADIJAH KIANA JEFFERSON is a Home Health Aide healthcare provider located in IRMO, South Carolina. NPI 1134954191 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · IRMO, SC

Registration Details

NPI Number
1134954191
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2024 (1.9621400599296 yrs)
Last Updated
Sep 7, 2024
License
54448 (SC)
Sole Proprietor
Yes

Practice Information

Address
7801 SAINT ANDREWS RD # B1
IRMO, SC, 290632866
Browse SC providers · Browse ZIP 29063
Phone
8032409950
Primary Specialty
Home Health Aide
374U00000X
Additional Specialty
Adult Companion
Additional Specialty
Foot & Ankle Surgery
Additional Specialty
Nurse's Aide
Additional Specialty
Home Health Aide

Other Home Health Aide Providers in IRMO, SC

Name Credential NPI
MS. SHIRLEY ANN FURTICK 1285480020
TONYA MARCHELL MACK-CANTY 1942196415
MR. GEORGE FRAZIER 1548112303
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.