NPI 1881580819

Larry D Jefferson

Practitioner Intermediate Emergency Medical Technician Columbus, MS

Practice location

Address: 342 Sylvan Rd, Columbus, MS 39702-3014
Phone: (662) 364-0578

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 801522422 (MS)

Other Emergency Medical Technician, Intermediate providers in Mississippi →

Registry record

NPI: 1881580819
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2025
Record last updated: 23 Jun 2025

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.