Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack T Fendley, MD

Individual provider Family Medicine Physician · NPI 1821074592

Dr. Jack T Fendley, MD is a Family Medicine Physician in North Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2005.

Licensed in
AR
In the registry since
2005
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3500 Springhill Dr Ste 100
North Little Rock, AR 72117-2949
Phone: (501) 955-5589
Fax: (501) 955-5960
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence C4596 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence C4596 (AR)
Adult Medicine Physician Taxonomy 207QA0505X · Licence C4596 (AR)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence C4596 (AR)
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X · Licence C4596 (AR)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence C4596 (AR)

Record details

NPI number1821074592
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 15, 2005
Last updated in NPPESMarch 23, 2018

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