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J. W NUCKOLLS M.D.
NPI 1881873826
Specialist in Pine Bluff, AR

Active since October 26, 2007
1801 W 40TH AVE, 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: October 18, 2026.

About J. W Nuckolls M.d. NPPES

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

J. W NUCKOLLS M.D. (NPI 1881873826) is an individual specialist in Pine Bluff, Arkansas, licensed in Arkansas (R2177) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1881873826
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJ. W NUCKOLLSCredential: M.D.
Location Address1801 W 40TH AVEPine Bluff, AR 71603-6940
Mailing Address1801 W 40th AvePine Bluff, AR 71603-6940 · (870) 541-0222 · Fax (870) 541-0315
Phone(870) 541-0222
Fax(870) 541-0315
Sole ProprietorYes
Enumeration DateOctober 26, 2007
✔ NPI 1881873826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · R2177
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1801 W 40TH AVE, Pine Bluff, AR 71603
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Other Identifiers 2

Medicare UPINE05073
Medicare PIN53847

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. Nuckolls's NPI number?

The NPI number for J. Nuckolls is 1881873826. It was assigned to this individual provider in the NPPES registry on October 26, 2007.

Where is J. Nuckolls located?

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

What is J. Nuckolls's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for J. Nuckolls 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.