NPI 1881162469

Jefferson Hospital Association, INC.

Organisation Pediatric Adolescent Medicine Physician Pine Bluff, AR

Practice location

Address: 1420 W 43rd Ave, Pine Bluff, AR 71603-7010
Phone: (870) 534-6210
Fax: (870) 534-8620
Mailing address: PO Box 2650, Pine Bluff, AR 71613-2650

Authorised official

Name: Bryan Jackson
Title: Cfo
Phone: (870) 541-7141

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X

Other Pediatrics providers in Arkansas →

Registry record

NPI: 1881162469
Entity type: Organization
NPI issued: 13 Nov 2018
Record last updated: 13 Nov 2018

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.