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

Jefferson Surgery Center PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1710934542

Jefferson Surgery Center PLLC is an Ambulatory Surgical Clinic/Center in Pine Bluff, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
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

1609 W 40th Ave Jrmc Professional Ctr Ste 103
Pine Bluff, AR 71603-6329
Phone: (870) 541-3636
Fax: (870) 541-3639
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence AR3637 (AR)

Record details

NPI number1710934542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Bohannan — Administrator · (870) 541-3640
Other names Jha Ambulatory Surgery Center, Llc
NPI enumeratedMay 27, 2006
Last updated in NPPESAugust 26, 2008
Mailing address1609 W 40th Ave, Jrmc Professional Center, Suite 103, Pine Bluff, AR 71603-6329

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