Carolyn Alina Jefferson, RN, BSN
Individual provider Active NPI Registered Nurse · Little Rock, AR
NPI 1841986288 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1841986288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R099323 (AR)
- Practice address
- 9110 Geyer Springs Rd
Little Rock, AR 72209-6425 - Phone
- (501) 443-3170
- NPI assigned
- Apr 17, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R099323 | AR | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| God'S Grace Medical Staffing, LLC | Registered Nurse | Current |
Accepting new patients |
Locations
9110 Geyer Springs Rd
Little Rock, AR 72209
Phone (501) 443-3170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R099323 | AR | Yes |
Addresses
Primary practice location
9110 Geyer Springs Rd
Little Rock, AR 72209-6425
Mailing address
9110 Geyer Springs Rd
Little Rock, AR 72209-6425
Phone (501) 443-3170
Other providers in Little Rock, AR
- Jefferson Comprehensive Care System, Inc
- Jefferson Comprehensive Care System, Inc
- Jefferson Comprehensive Care System, Inc
- Akilah Andrea Jefferson
- Antarika Jefferson
- Delois Jefferson
- Erin Elizabeth Yancey Jefferson
- Jaylyn Grace Jefferson
- Jockea Jefferson
- Sharon Jefferson
All providers in Little Rock, AR · Registered Nurse in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.