Individual provider · Type 1 NPI
Larry D. Jefferson Sr.
Intermediate Emergency Medical Technician · Columbus, MS
NPI number
1881580819
Active
Practice location
342 Sylvan Rd
Columbus, MS 39702-3014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intermediate Emergency Medical Technician Primary | 146M00000X | 801522422 (MS) |
Intermediate Emergency Medical Technician: An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
About NPI 1881580819
Larry D. Jefferson Sr.'s National Provider Identifier is 1881580819, issued on Jun 16, 2025. The primary taxonomy on file is Intermediate Emergency Medical Technician (146M00000X), and the practice location is in Columbus, MS. The record was last updated on Jun 23, 2025.