Individual
MRS. BRENDA JOYCE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
217 N MAIN ST, RISON, AR 71665-8856
(888) 264-5034
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03186
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182729758
—
AR
Enumeration date
03/14/2007
Last updated
10/02/2025
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