Dr CASSIDY L JACOBS is a female medical professional, specializing in Physician Assistant. She graduated in 2017.
STORM-PETREL INPATIENT SERVICES LLC
E MAIN AND S 20TH ST
SPARKS MEDICAL CENTER
VAN BUREN
AR
72956
Tel: 4794743401
| Npi | 1376056705 |
| Pac Id | 5698032282 |
| Professional Enrollment Id | I20171207000647 |
| Last Name | JACOBS |
| First Name | CASSIDY |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | STORM-PETREL INPATIENT SERVICES LLC |
| Group Practice Pac Id | 5395967533 |
| Number Of Group Practice Members | 10 |
| Line 1 Street Address | E MAIN AND S 20TH ST |
| Line 2 Street Address | SPARKS MEDICAL CENTER |
| Marker Of Address Line 2 Suppression | |
| City | VAN BUREN |
| State | AR |
| Zip Code | 72956 |
| Phone Number | 4794743401 |
| Hospital Affiliation Ccn 1 | 040055 |
| Hospital Affiliation Lbn 1 | SPARKS REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 040018 |
| Hospital Affiliation Lbn 2 | SPARKS MEDICAL CENTER VAN BUREN |
| Hospital Affiliation Ccn 3 | 371337 |
| Hospital Affiliation Lbn 3 | EASTERN OKLAHOMA MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 040062 |
| Hospital Affiliation Lbn 4 | MERCY HOSPITAL FORT SMITH |
| Hospital Affiliation Ccn 5 | 041300 |
| Hospital Affiliation Lbn 5 | NORTH LOGAN MERCY HOSPITAL |
| Professional Accepts Medicare Assignment | Y |
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