CARLIYA JEFFERSON
NPI 1992670558
Specialist/Technologist, Pathology - Laboratory Management in Glen Saint Mary, FL

Active since October 06, 2025
10384 DAVIS RD, GLEN SAINT MARY, FL 32040(904) 408-1802 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carliya Jefferson NPPES

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

CARLIYA JEFFERSON (NPI 1992670558) is an individual laboratory management provider in Glen Saint Mary, Florida and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1992670558
Entity TypeIndividualFemale
Primary Taxonomy246QL0900X
Provider Legal NameCARLIYA JEFFERSON
Location Address10384 DAVIS RDGlen Saint Mary, FL 32040-3616
Mailing Address10384 Davis RdGlen Saint Mary, FL 32040-3616 · (904) 408-1802
Sole ProprietorYes
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1992670558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Pathology · Laboratory ManagementTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QL0900X
10384 DAVIS RD, Glen Saint Mary, FL 32040

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Home Health
10384 DAVIS RD
GLEN SAINT MARY, FL 32040

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 Carliya Jefferson's NPI number?

The NPI number for Carliya Jefferson is 1992670558. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Carliya Jefferson located?

Carliya Jefferson practices at 10384 Davis Rd, Glen Saint Mary, FL 32040. The listed phone number is (904) 408-1802.

What is Carliya Jefferson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Laboratory Management, with taxonomy code 246QL0900X.

When was this NPI record last updated?

The NPPES record for Carliya Jefferson was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.