Rayven Renee Jefferson

Primary specialty

TechnicianTaxonomy code 374700000X

License

W6M2E8Y9 Issued in TN

Practice address

6039 Blackraven Dr Apt 49
Memphis, TN 38115-1327

Phone

(901) 765-9764

NPI assigned

Jun 16, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1811822182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6039 BLACKRAVEN DR APT 49",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6039 BLACKRAVEN DR APT 49",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151327",
            "telephone_number": "901-765-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "RAYVEN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "TN",
            "license": "W6M2E8Y9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lynn Jefferies Jr., M.D.
• Adrian Jefferson, M.D.
• Alda Jefferson
• Chastity Jefferson, RBT
• Fannie Jefferson, MA
• Runnie Dewayne Jefferson
• Vanessa Jefferson
• Yousef Odeh Jefferson, DDS
• Kobra Jeffries
• Krystal D Jeffries

• Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.