MR. JEFFERY LANE ULMER P.A.-C.
NPI 1225072614
Physician Assistant - Medical in Mena, AR

Active since June 15, 2006
1102 CRESTWOOD CIR, MENA, AR 71953(479) 394-7301(479) 394-7160 Get Directions Write a Review

NPPES record last updated: December 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeffery Lane Ulmer P.a.-c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFERY LANE ULMER P.A.-C. (NPI 1225072614) is an individual medical provider in Mena, Arkansas, licensed in Arkansas (PA-116) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1225072614
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JEFFERY LANE ULMERCredential: P.A.-C.
Location Address1102 CRESTWOOD CIRMena, AR 71953-5513
Mailing Address1102 Crestwood CirMena, AR 71953-5513 · (479) 394-7301 · Fax (479) 394-7160
Fax(479) 394-7160
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateDecember 23, 2013
NPI 1225072614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AR · PA-116
1102 CRESTWOOD CIR, Mena, AR 71953

Other Identifiers 1

Medicare ID-Type Unspecified53482P033AR · Ar Medicare Provider #

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
1102 CRESTWOOD CIR
MENA, AR 71953
Pain Medicine (Interventional Pain Medicine)
1102 CRESTWOOD CIR
MENA, AR 71953
Pediatrics
1102 CRESTWOOD CIR
MENA, AR 71953
Family Medicine
1102 CRESTWOOD CIR
MENA, AR 71953
General Practice
1102 CRESTWOOD CIR
MENA, AR 71953
Family Medicine
1102 CRESTWOOD CIR
MENA, AR 71953
Nurse Practitioner (Pediatrics)
1102 CRESTWOOD CIR
MENA, AR 71953
Pain Medicine (Interventional Pain Medicine)
1102 CRESTWOOD CIR
MENA, AR 71953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffery Ulmer's NPI number?

The NPI number for Jeffery Ulmer is 1225072614. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jeffery Ulmer located?

Jeffery Ulmer practices at 1102 Crestwood Cir, Mena, AR 71953. The listed phone number is (479) 394-7301.

What is Jeffery Ulmer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jeffery Ulmer was last updated on December 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.