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Individual

DARREN DALE JEFFERIES

Active
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Individual

DARREN DALE JEFFERIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
529270
NY
367500000X
Certified Registered Nurse Anesthetist
0024169078
VA
367500000X
Certified Registered Nurse Anesthetist
074952
NY
367500000X
Certified Registered Nurse Anesthetist
20827740A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11039804
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
095200099
MEDICARE PTAN
IN
01
264431067
MEDICARE PTAN
IN
05
300067393
IN
01
Q00530230
RAILROAD PTAN
IN
Enumeration date
11/08/2006
Last updated
06/18/2025
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