Graduated: 1980
NPI: 1710997655
Practice Locations (3)
JEFFERSON HOSPITAL ASSOCIATION, INC
1600 W 40TH AVE
PINE BLUFF, AR 716036301
JEFFERSON HOSPITAL ASSOCIATION, INC
1601 W 40TH AVE
PINE BLUFF, AR 716036346
JEFFERSON HOSPITAL ASSOCIATION, INC
1609 W 40TH AVE
PINE BLUFF, AR 716036319
Source: CMS National Downloadable File, September 2026.