NPI 1568123982

Jefferson Hospital Association, INC

Organisation Family Medicine Physician Star City, AR

Practice location

Address: 1306 North Lincoln Avenue, Star City, AR 71667-4210
Phone: (870) 628-1347
Mailing address: PO Box 2650, Pine Bluff, AR 71613-2650

Authorised official

Name: Shayla Robinson
Title: Corporate Compliance Officer
Phone: (870) 541-7395

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Arkansas →

Registry record

NPI: 1568123982
Entity type: Organization
NPI issued: 7 Jan 2022
Record last updated: 1 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.