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J. W NUCKOLLS MD
NPI 1750345575
Clinic/Center in Pine Bluff, AR

Active since April 17, 2006
1801 W 40TH AVE, SUITE 1C, PINE BLUFF, AR 71603(870) 541-0222(870) 541-0315 Get Directions Write a Review

NPPES record last updated: October 26, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About J. W Nuckolls Md NPPES

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

J. W NUCKOLLS MD (NPI 1750345575) is a healthcare organization registered as a clinic/center in Pine Bluff, Arkansas and active in the NPI registry since April 2006. The organization lists J. W Nuckolls, Owner, as its authorized official.

NPPES Registry Identity

NPI1750345575
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJ. W NUCKOLLS MD
Location Address1801 W 40TH AVE, SUITE 1CPine Bluff, AR 71603-6956
Mailing Address1801 West 40th, Suite 1-cPine Bluff, AR 71603-6956 · (870) 541-0222 · Fax (870) 541-0315
Phone(870) 541-0222
Fax(870) 541-0315
Organization SubpartNo
Authorized OfficialJ. W NuckollsOwner · (870) 541-0222
Enumeration DateApril 17, 2006
Last NPPES UpdateOctober 26, 2007
✔ NPI 1750345575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AR · R2177
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1801 W 40TH AVE, Pine Bluff, AR 71603
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Other Identifiers 2

Medicare UPINE05073AR
Medicare ID-Type Unspecified53847AR

Other Providers at the Same Location NPPES 20

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

JEFFERSON ANESTHESIOLOGY ASSOCIATES
Anesthesiology
1801 W 40TH AVE, SUITE 2B
PINE BLUFF, AR 71603
Jefferson County (870) 535-7457
GARY W MANLY CRNA
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Jefferson County (870) 535-7457
JOHN E HARRIS MD PA
Family Medicine
1801 W 40TH AVE, SUITE 5C
PINE BLUFF, AR 71603
Jefferson County (870) 534-0202
FAWAD H WALAJAHI M.D.
Anesthesiology
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Jefferson County (870) 535-7457
JONATHAN M LOETSCHER CRNA
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, SUITE 2B
PINE BLUFF, AR 71603
Jefferson County (870) 535-7457
PINE BLUFF RADIOLOGISTS, LTD
Specialist
1801 W 40TH AVE, SUITE 2C
PINE BLUFF, AR 71603
Jefferson County (870) 534-8651
DR. JAMES L WORKMAN M.D.
Radiology (Diagnostic Radiology)
1801 W 40TH AVE, SUITE 2C
PINE BLUFF, AR 71603
Jefferson County (870) 534-8651
JACQUELYN S. FRIGON, M.D., P.A.
Physical Medicine & Rehabilitation
1801 W 40TH AVE, SUITE 5B
PINE BLUFF, AR 71603
Jefferson County (870) 535-4800

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 J. W Nuckolls MD's NPI number?

The NPI number for J. W Nuckolls MD is 1750345575. It was assigned to this organization in the NPPES registry on April 17, 2006.

Where is J. W Nuckolls MD located?

J. W Nuckolls MD is located at 1801 W 40th Ave Suite 1C, Pine Bluff, AR 71603. The listed phone number is (870) 541-0222.

What is J. W Nuckolls MD's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for J. W Nuckolls MD was last updated on October 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.