Casandra Denise Jefferson

Primary specialty

DriverTaxonomy code 172A00000X

License

J162104639020 Issued in FL

Practice address

3452 Inwood Cir W
Jacksonville, FL 32207-5518

Phone

(904) 955-9600

NPI assigned

Aug 29, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1669351979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3452 INWOOD CIR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075518",
            "telephone_number": "904-955-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 INWOOD CIR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075518",
            "telephone_number": "904-955-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "CASANDRA",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "FL",
            "license": "J162104639020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Jefferson Hastings
• Jefferson Health Care
• Jefferson Pharmacy LLC
• Andrevius T Jefferson, PA
• Britany Jefferson, OT
• Courtney Alexis Jefferson, LPN
• Felicia Jefferson
• Janee Q Jefferson
• Letisha Renee Brazile Jefferson, MD
• Ri'Coby Diane Jefferson, LPC

• Driver in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Driver in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.