Individual
JACOB B ADKISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2110 W WALNUT ST STE 100, ROGERS, AR 72756-3246
(417) 451-4545
(417) 451-4546
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 543-6979
(314) 364-6321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124264
AR
363LF0000X
Family Nurse Practitioner
2018004598
MO
Other
Enumeration date
02/20/2018
Last updated
11/11/2024
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