Individual
GWENDOLYN JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5343 HIGHWAY 1 S, JONESBORO, AR 72404-7588
(870) 623-9985
Mailing address
5343 HIGHWAY 1 S, JONESBORO, AR 72404-7588
(870) 623-9985
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
000000004960
AR
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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