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

Jacob Sandefur

Individual provider Family Nurse Practitioner · NPI 1942870316

Jacob Sandefur is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2021, 5 years ago. Practices with Orthoarkansas PA, a 147-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
5
Licensed in
AR
In the registry since
2021
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Practice location Address checks out

800 Fair Park Blvd
Little Rock, AR 72204-1720
Phone: (501) 404-8007
Fax: (501) 904-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 216212 (AR)

Record details

NPI number1942870316
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2021
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Orthoarkansas Pa — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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