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DESARAE LATEVA JEFFERSON
NPI 1114559077
Private Vehicle in Hurt, VA

Active since February 10, 2020
4357 ROARK MILL RD, HURT, VA 24563(434) 420-8823(434) 324-0568 Get Directions Write a Review

NPPES record last updated: February 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Desarae Lateva Jefferson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESARAE LATEVA JEFFERSON (NPI 1114559077) is an individual private vehicle provider in Hurt, Virginia, licensed in Virginia (T60727635) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1114559077
Entity TypeIndividualFemale
Primary Taxonomy347C00000X
Provider Legal NameDESARAE LATEVA JEFFERSON
Location Address4357 ROARK MILL RDHurt, VA 24563-3308
Mailing Address4357 Roark Mill RdHurt, VA 24563-3308 · (434) 420-8823 · Fax (434) 324-0568
Phone(434) 420-8823
Fax(434) 324-0568
Sole ProprietorYes
Enumeration DateFebruary 10, 2020
✔ NPI 1114559077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
License✔ Licensed in VA · T60727635
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
4357 ROARK MILL RD, Hurt, VA 24563
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desarae Jefferson's NPI number?

The NPI number for Desarae Jefferson is 1114559077. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Desarae Jefferson located?

Desarae Jefferson practices at 4357 Roark Mill Rd, Hurt, VA 24563. The listed phone number is (434) 420-8823.

What is Desarae Jefferson's specialty?

The primary specialty registered for this NPI is Private Vehicle with taxonomy code 347C00000X.

When was this NPI record last updated?

The NPPES record for Desarae Jefferson was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.