Jacobs, Dewayne

Jacobs, Dewayne is an individual health care provider with primary practice located at 6601 W 12Th St , Little Rock AR 72204-1513. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Jacobs, Dewayne can be contacted via phone (501) 660-6886.

Contact Information

Primary practice address
6601 W 12Th St Little Rock AR 72204-1513
Phone: (501) 660-6886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X R054965 Arkansas
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X R054965 Arkansas
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X R054965 Arkansas

Profile Details

NPI number 1821660234
LBN Legal business name Jacobs, Dewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2021
Last updated Jul 14th, 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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