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DR. NINA NICOLE JEFFERSON PSY.D.
NPI 1881912137
Psychologist - Clinical in Monticello, AR

Active since May 12, 2010
766 HL ROSS DR, MONTICELLO, AR 71655(870) 367-6246(855) 926-7383 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 23, 2017 (2 updates tracked since 2017).

About Dr. Nina Nicole Jefferson Psy.d. NPPES

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

DR. NINA NICOLE JEFFERSON PSY.D. (NPI 1881912137) is an individual clinical provider in Monticello, Arkansas, licensed in Arkansas (15-06P) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1881912137
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NINA NICOLE JEFFERSONCredential: PSY.D.
Location Address766 HL ROSS DRMonticello, AR 71655
Mailing AddressPo Box 509Dermott, AR 71638 · (870) 538-5414 · Fax (870) 538-5412
Phone(870) 367-6246
Fax(855) 926-7383
Sole ProprietorYes
Enumeration DateMay 12, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1881912137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in AR · 15-06P✔ Licensed in GA · PSY003323
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
766 HL ROSS DR, Monticello, AR 71655
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Other Identifiers 1

Medicaid003100346AGA

Other Providers at the Same Location NPPES

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

APRIL BRANDY GLASSCOCK APRN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
766 HL ROSS DR
MONTICELLO, AR 71655
Drew County (870) 367-6246

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 Nina Jefferson's NPI number?

The NPI number for Nina Jefferson is 1881912137. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Nina Jefferson located?

Nina Jefferson practices at 766 Hl Ross Dr, Monticello, AR 71655. The listed phone number is (870) 367-6246.

What is Nina Jefferson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Nina Jefferson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.