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

Jefferson Pulm Cc PA

Organization Pulmonary Disease Physician · NPI 1396954228

Jefferson Pulm Cc PA is a Pulmonary Disease Physician in Monticello, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

606 Roberts Dr
Monticello, AR 71655
Phone: (870) 850-6053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence E2334 (AR)

Record details

NPI number1396954228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Simpson — President · (870) 850-6053
NPI enumeratedMay 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 7824, Pine Bluff, AR 71611-7824