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

TaxonomyCodeLicense
Intermediate Emergency Medical Technician Primary 146M00000X801522422 (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.