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

Larry D Jefferson Sr.

Individual provider Intermediate Emergency Medical Technician · NPI 1881580819

Larry D Jefferson Sr. is an Intermediate Emergency Medical Technician in Columbus, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2025

Practice location Address checks out

342 Sylvan Rd
Columbus, MS 39702-3014
Phone: (662) 364-0578
Show map & directions

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

Specialties & licences

Intermediate Emergency Medical Technician (primary) Taxonomy 146M00000X · Licence 801522422 (MS)

Record details

NPI number1881580819
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025
Mailing address342 Sylvan Rd, Columbus, MS 39702-3014