Organization · Type 2 NPI

Jefferson Hospital Association, Inc

Family Medicine Physician · Pine Bluff, AR

NPI number 1497102040 Active

Practice location

1801 W 40th Ave Ste 6A
Pine Bluff, AR 71603-6963

Call (870) 541-9373 Map

Fax (870) 541-0109

Mailing address

PO Box 2650
Pine Bluff, AR 71613-2650

Other practice locations

  • 4747 Dusty Lake Dr, Suite 202, Pine Bluff, AR 71603-8742 · (870) 541-7235

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1497102040

Jefferson Hospital Association, Inc's National Provider Identifier is 1497102040, issued on May 24, 2016. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pine Bluff, AR. The record was last updated on Aug 13, 2025.