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

Tyrahna Jefferson, CRANIALPROSTHESIS

Individual provider Prosthetics Case Management · NPI 1649629064

Tyrahna Jefferson, CRANIALPROSTHESIS is a Prosthetics Case Management in Baltimore, Maryland. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3

Practice location Address checks out

6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Phone: (410) 304-3127
Show map & directions

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

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X
Reflexologist Taxonomy 173C00000X
Specialist Taxonomy 174400000X

Record details

NPI number1649629064
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRANIALPROSTHESIS
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing address6340 Security Blvd Ste 100, Baltimore, MD 21207-5284

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