Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jefferson Hospital Assn, Inc

Organization Surgery Physician · NPI 1962753574

Jefferson Hospital Assn, Inc provides Surgery Physician services in Pine Bluff, Arkansas. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1609 W 40th Ave Ste 403
Pine Bluff, AR 71603-6319 Not confirmed with CMS for 12 years — call before visiting
Phone: (870) 541-5981
Fax: (870) 541-8769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1962753574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Walker — Cbo Director Practice Management · (870) 541-5981
Other names Surgical Associates Of Southeast Arkansas
NPI enumeratedSeptember 21, 2012
Last updated in NPPESDecember 17, 2013
Mailing addressPo Box 2320, Pine Bluff, AR 71613-2320

Other providers in Pine Bluff