Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Larry D Jefferson Sr.

Individual provider Intermediate Emergency Medical Technician · NPI 1881580819

Larry D Jefferson Sr. is an Intermediate Emergency Medical Technician in Columbus, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

342 Sylvan Rd
Columbus, MS 39702-3014
Phone: (662) 364-0578
Show map & directions

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

Specialties & licences

Intermediate Emergency Medical Technician (primary) Taxonomy 146M00000X · Licence 801522422 (MS)

Record details

NPI number1881580819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025