Individual
JACOBIE AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QBHP
Contact information
Practice address
400 HARDIN RD STE 150, LITTLE ROCK, AR 72211-3507
(501) 603-2147
(501) 603-0324
Mailing address
400 HARDIN RD STE 150, LITTLE ROCK, AR 72211-3507
(501) 603-2147
(501) 603-0324
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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