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

Jefferson Regional Anesthesia LLC

Organization Anesthesiology Physician · NPI 1205301587

Jefferson Regional Anesthesia LLC is an Anesthesiology Physician in Pine Bluff, Arkansas. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 W 40th Ave
Pine Bluff, AR 71603-6301
Phone: (870) 541-7370
Fax: (870) 541-7665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1205301587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Jackson — Cfo · (870) 541-7370
NPI enumeratedOctober 12, 2018
Last updated in NPPESOctober 12, 2018
Mailing address1600 W 40th Ave, Pine Bluff, AR 71603-6301

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