HomeNPI Verification

NPI Verification

National Provider Identifier: 1821074592

Jack T Fendley, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (6)

Family Medicine

Code: 207Q00000X

Family Medicine, Adult Medicine

Code: 207QA0505X

Family Medicine, Geriatric Medicine

Code: 207QG0300X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Internal Medicine, Geriatric Medicine

Code: 207RG0300X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

3500 SPRINGHILL DR STE 100

NORTH LITTLE ROCK, AR 721172949

Phone: 501-955-5589

NPI Enumeration Date

December 15, 2005

NPI Number

1821074592

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry