JEFFERSON HOSPITAL ASSOCIATION, INC.
NPI 1881162469
Pediatrics - Adolescent Medicine in Pine Bluff, AR

Active since November 13, 2018
1420 W 43RD AVE, PINE BLUFF, AR 71603(870) 534-6210(870) 534-8620 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Hospital Association, Inc. NPPES

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

JEFFERSON HOSPITAL ASSOCIATION, INC. (NPI 1881162469) is a healthcare organization registered as an adolescent medicine in Pine Bluff, Arkansas and active in the NPI registry since November 2018. The organization lists Bryan Jackson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881162469
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameJEFFERSON HOSPITAL ASSOCIATION, INC.
Location Address1420 W 43RD AVEPine Bluff, AR 71603-7010
Mailing AddressPo Box 2650Pine Bluff, AR 71613-2650 · (870) 541-7235 · Fax (870) 541-4297
Fax(870) 534-8620
Organization SubpartNo
Authorized OfficialBryan JacksonCfo · (870) 541-7141
Enumeration DateNovember 13, 2018
NPI 1881162469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1420 W 43RD AVE, Pine Bluff, AR 71603

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Pediatrics (Adolescent Medicine)
1420 W 43RD AVE
PINE BLUFF, AR 71603
Pediatrics (Adolescent Medicine)
1420 W 43RD AVE
PINE BLUFF, AR 71603
Pediatrics (Adolescent Medicine)
1420 W 43RD AVE
PINE BLUFF, AR 71603

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 Jefferson Hospital Association, Inc.'s NPI number?

The NPI number for Jefferson Hospital Association, Inc. is 1881162469. It was assigned to this organization in the NPPES registry on November 13, 2018.

Where is Jefferson Hospital Association, Inc. located?

Jefferson Hospital Association, Inc. is located at 1420 W 43rd Ave, Pine Bluff, AR 71603. The listed phone number is (870) 534-6210.

What is Jefferson Hospital Association, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Jefferson Hospital Association, Inc. was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.