NPI 1518120062
Kimberly Emile Jacob, LMCPM
Practice location
- Address
- 131 Sunny Gap Rd, Conway, AR 72032-8407
- Phone
- (501) 514-1277
- Fax
- (866) 551-1024
Registered specialties
Midwife
Primary
Registry record
- NPI
- 1518120062
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Jul 2008
- Record last updated
- 19 Jan 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.