Jacobs, Brenda Joyce

Jacobs, Brenda Joyce is an individual health care provider with primary practice located at 535 Jordan Dr , Monticello AR 71655-5714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacobs, Brenda Joyce can be contacted via phone (870) 367-6246.

Contact Information

Primary practice address
535 Jordan Dr Monticello AR 71655-5714
Phone: (870) 367-6246
Fax: (855) 926-7383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03186 Arkansas

Profile Details

NPI number 1720111990
LBN Legal business name Jacobs, Brenda Joyce
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720111990 NPPES
Arkansas MEDICAID 182729758

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