JACOB SANDEFUR

LITTLE ROCK, AR
NPI1942870316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  216212)
Enumeration Date2021-06-29
Last Update Date2026-05-26
Business Address
JACOB SANDEFUR
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204-1720
Phone number: 501-404-8007
Mailing Address
JACOB SANDEFUR
800 FAIR PARK BLVD
LITTLE ROCK, AR 72204-1720
Phone number: 501-404-8007