JEFFERSON PULM CC PA NPI 1396954228

NPI Information

  • NPI: 1396954228
  • Provider Name: JEFFERSON PULM CC PA
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Organization
  • CLIA Number: 04D2176842
  • Address: 606 ROBERTS DRIVE
    MONTICELLO, AR
    ZIP 71655
  • Phone: (870) 850-6053

Map and Directions

Get Directions

NPI Details

JEFFERSON PULM CC PA is a pulmonary disease internal medicine in Monticello, AR. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. JEFFERSON PULM CC PA NPI is 1396954228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

606 ROBERTS DRIVE
MONTICELLO, AR
ZIP 71655
Phone: (870) 850-6053

The provider's authorized official is Tanya M Simpson .
The authorized official title is President and has the following contact phone number (870) 850-6053.

The CLIA number assigned to this NPI record is 04D2176842 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary DiseaseE2334ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI