Individual
LAILA AMIRA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2121 CHIPLEY DR, CARY, NC 27519-6990
(770) 670-3155
Mailing address
2121 CHIPLEY DR, CARY, NC 27519-6990
(770) 670-3155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
310680
NC
367500000X
Certified Registered Nurse Anesthetist
310680
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7524
NC
Other
Enumeration date
02/16/2023
Last updated
05/15/2025
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