| Mrs Brenda Joyce Jacobs, APN | |
|
217 N Main St, Rison, AR 71665-8856 | |
| (888) 264-5034 | |
| Not Available |
| Full Name | Mrs Brenda Joyce Jacobs |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 217 N Main St, Rison, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720111990 | NPI | - | NPPES |
| 182729758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A03186 (Arkansas) | Primary |
| Entity Name | Ascension Depaul Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366527145 PECOS PAC ID: 5799852711 Enrollment ID: O20090909000129 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenda Joyce Jacobs, APN 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () - | Mrs Brenda Joyce Jacobs, APN 217 N Main St, Rison, AR 71665-8856 Ph: (888) 264-5034 |
Kira Marie Earnest, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 N Main St, Rison, AR 71665 Phone: 870-856-1202 Fax: 866-500-4279 | |
Lauren Leopard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 691 Pumpkin Hill Rd, Rison, AR 71665 Phone: 870-718-1249 | |
Alisha Engelkes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 N Main St, Rison, AR 71665 Phone: 888-264-5034 Fax: 870-895-2164 | |
Tammy S Green, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 Sycamore St, Rison, AR 71665 Phone: 870-325-6255 Fax: 870-325-6117 |