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

Jefferson Emergency Services, PLLC

Organization Emergency Medicine Physician · NPI 1720495336

Jefferson Emergency Services, PLLC is an Emergency Medicine Physician in Jefferson, North Carolina. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 Hospital Ave
Jefferson, NC 28640-9244
Phone: (336) 846-0820
Fax: (770) 874-5483
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1720495336
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Director Of Credentialing · (770) 874-5400
NPI enumeratedJuly 15, 2014
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing addressPo Box 21312, Belfast, ME 04915-4110

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