Individual
JOEL C COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(870) 247-7632
Mailing address
207 OAK TREE RDG, SHERIDAN, AR 72150-8374
(870) 329-4355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A001812
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A001812
ADVNACED PRACTICE NURSE - STATE OF ARKANSAS
AR
Enumeration date
07/17/2006
Last updated
06/28/2020
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