Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Khadijah Kiana Jefferson

Individual provider Licensed Practical Nurse · NPI 1134954191

Khadijah Kiana Jefferson is a Licensed Practical Nurse in Irmo, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024
Specialties on file
5

Practice location Address checks out

7801 Saint Andrews Rd # B1
Irmo, SC 29063-2866
Phone: (803) 240-9950
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
Licensed Practical Nurse Taxonomy 164W00000X · Licence 54448 (SC)
Adult Companion Taxonomy 372600000X
Personal Care Attendant Taxonomy 3747P1801X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1134954191
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 7, 2024
Last updated in NPPESSeptember 7, 2024
Certification dateSeptember 7, 2024

Other providers in Irmo