Provider Demographics
NPI:1558673889
Name:JACOBS, EMILY (MD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:JACOBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:303 E MATTHEWS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3150
Mailing Address - Country:US
Mailing Address - Phone:870-207-2926
Mailing Address - Fax:870-207-6309
Practice Address - Street 1:303 E MATTHEWS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-3150
Practice Address - Country:US
Practice Address - Phone:870-207-2926
Practice Address - Fax:870-207-6309
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-8952208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology