Individual
MS. SANDEE MILLER JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9101 KANIS RD, LITTLE ROCK, AR 72205-6456
(501) 224-4001
Mailing address
9101 KANIS RD, LITTLE ROCK, AR 72205-6456
(501) 224-4001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A03173ANP
AR
Other
Enumeration date
12/28/2009
Last updated
03/31/2023
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