Individual
ANGELA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2 SAINT VINCENT CIR, LITTLE ROCK, AR 72205-5499
(501) 552-2250
Mailing address
1506 COOLHURST AVE, SHERWOOD, AR 72120-5051
(870) 692-8075
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005722
AR
363LP2300X
Primary Care Nurse Practitioner
A005722
AR
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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