Provider Demographics
NPI:1922449495
Name:JEFFERSON, CAREY JEAN (RN, CNM)
Entity Type:Individual
Prefix:MRS
First Name:CAREY
Middle Name:JEAN
Last Name:JEFFERSON
Suffix:
Gender:F
Credentials:RN, CNM
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:930 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2656
Mailing Address - Country:US
Mailing Address - Phone:919-933-3301
Mailing Address - Fax:919-933-3375
Practice Address - Street 1:120 CONNER DR STE 101
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7092
Practice Address - Country:US
Practice Address - Phone:919-942-8571
Practice Address - Fax:919-942-6355
Is Sole Proprietor?:No
Enumeration Date:2013-07-12
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC521367A00000X
NC171807163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse