Jefferson Hospital Association

NPI #1457436214 in Pine Bluff, Arkansas

Provider Information

NPI Number: 1457436214
Entity Type: Organization
Organization Name: Jefferson Hospital Association
Primary Specialty: Internal Medicine
Enumeration Date: Oct 27, 2006
Last Updated: Jul 2, 2008

Practice Location

Address: 4201 S MULBERRY ST
City: Pine Bluff
State: Arkansas
ZIP Code: 71603-7016
Phone: (870) 541-7220

Authorized Official

Name: MRS. BRENNA RENEE JACKSON
Title: DIRECTOR OF CLINICS
Phone: (870) 541-7220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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