MRS. LETISHA RENEE BRAZILE JEFFERSON MD
NPI 1184914053
Pediatrics in Jacksonville, FL

Q: What is Letisha Jefferson's NPI number?

The NPI number for Letisha Jefferson is 1184914053. It was assigned to this individual provider in the NPPES registry on April 13, 2011. The provider is also known as Ms. Letisha Renee Brazile MD.

Q: What is Letisha Jefferson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Letisha Jefferson was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 13, 2011

2121 PARK ST, JACKSONVILLE, FL 32204(904) 387-6200 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Letisha Renee Brazile Jefferson Md NPPES

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

MRS. LETISHA RENEE BRAZILE JEFFERSON MD (NPI 1184914053) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME123225) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1184914053

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMRS. LETISHA RENEE BRAZILE JEFFERSONCredential: MD

Location Address2121 PARK STJacksonville, FL 32204-3811

Mailing Address2121 Park StJacksonville, FL 32204-3811 · (904) 387-6200

Phone(904) 387-6200

Sole ProprietorNo

Enumeration DateApril 13, 2011

Last NPPES UpdateJanuary 18, 2018

✔ NPI 1184914053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME123225

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2121 PARK ST, Jacksonville, FL 32204

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Other Names 1

Former Name (1)Ms. Letisha Renee Brazile Md

Other Identifiers 1

Medicaid014578800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREAE AREY SHAW M.D.

Pediatrics