Individual
JACOB FORMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 N 2ND ST, NASHVILLE, AR 71852-3925
(870) 455-0134
(870) 277-2230
Mailing address
508 N 2ND ST, NASHVILLE, AR 71852-3925
(870) 455-0134
(870) 277-2230
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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