LARRY D JEFFERSON NPI 1881580819

NPI Information

  • NPI: 1881580819
  • Provider Name: LARRY D JEFFERSON
  • Classification: Emergency Medical Technician, Intermediate - 146M00000X
  • Entity Type: Individual
  • Address: 342 SYLVAN RD
    COLUMBUS, MS
    ZIP 39702
  • Phone: (662) 364-0578

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NPI Details

Larry D Jefferson is an emergency medical technician intermediate in Columbus, MS. The provider is an Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. Larry D Jefferson NPI is 1881580819. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

342 SYLVAN RD
COLUMBUS, MS
ZIP 39702-014
Phone: (662) 364-0578

The enumeration date for this NPI number is 6/16/2025 and was last updated on 6/23/2025.

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
1146M00000XEmergency Medical Technician, Intermediate801522422MISSISSIPPIYes

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

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