MS. COURTNEY ALEXIS JEFFERSON LPN
NPI 1538017629
Licensed Practical Nurse in Jacksonville, FL

Q: What is Courtney Jefferson's NPI number?

The NPI number for Courtney Jefferson is 1538017629. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Q: What is Courtney Jefferson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since March 17, 2026

12115 GRAND HERRING WAY, JACKSONVILLE, FL 32219(904) 616-7891 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Courtney Alexis Jefferson Lpn NPPES

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

MS. COURTNEY ALEXIS JEFFERSON LPN (NPI 1538017629) is an individual licensed practical nurse in Jacksonville, Florida, licensed in Florida (5265061) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1538017629

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMS. COURTNEY ALEXIS JEFFERSONCredential: LPN

Location Address12115 GRAND HERRING WAYJacksonville, FL 32219-2793

Mailing Address12115 Grand Herring WayJacksonville, FL 32219-2793

Phone(904) 616-7891

Sole ProprietorNo

Enumeration DateMarch 17, 2026

NPPES CertifiedMarch 17, 2026

✔ NPI 1538017629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in FL · 5265061

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

12115 GRAND HERRING WAY, Jacksonville, FL 32219

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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 Courtney Jefferson's NPI number?

The NPI number for Courtney Jefferson is 1538017629. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Courtney Jefferson located?

Courtney Jefferson practices at 12115 Grand Herring Way, Jacksonville, FL 32219. The listed phone number is (904) 616-7891.

What is Courtney Jefferson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Courtney Jefferson was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.