Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB SANDEFUR
ActiveJACOB SANDEFUR is a Family Nurse Practitioner healthcare provider located in NORTH LITTLE, Arkansas. NPI 1942870316 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · NORTH LITTLE, AR
Registration Details
- NPI Number
- 1942870316
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2021 (5.1148693287437 yrs)
- Last Updated
- Jun 29, 2021
- License
-
216212 (AR)
Practice Information
- Address
-
3840 LANDERS ROADNORTH LITTLE, AR, 72117Browse AR providers · Browse ZIP 72117
- Phone
- 5015003500
- Fax
- 5019043620
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.