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JACOB EDMONDSON
NPI 1013853399
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 28, 2026
4301 W MARKHAM ST, LITTLE ROCK, AR 72205(501) 686-8000 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Edmondson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB EDMONDSON (NPI 1013853399) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1013853399
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB EDMONDSON
Location Address4301 W MARKHAM STLittle Rock, AR 72205-7199
Mailing Address4301 W Markham StLittle Rock, AR 72205-7199
Phone(501) 686-8000
Sole ProprietorNo
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1013853399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W MARKHAM ST, Little Rock, AR 72205
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LESLEY BROOKE JONES R.D.
Dietitian, Registered
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-6857
NANCY MAALOUF M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST, SLOT # 500
LITTLE ROCK, AR 72205
Pulaski County (501) 296-1165
DR. ARMANDO LEONEL MARTINEZ M.D.
Emergency Medicine
4301 W MARKHAM ST, SLOT 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
ELENA AMBROGINI MD PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4301 W MARKHAM ST, # 783
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
SUKANTHI KOVVURU
Psychiatry & Neurology (Neuromuscular Medicine)
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (609) 865-3702
JORDAN ALEECE FLETCHER
Obstetrics & Gynecology
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-7000
DR. TYLER KRISTOPHER ROSE M.D.
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 686-8000
LUKE WILLIAM GANUCHEAU MD
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST
LITTLE ROCK, AR 72205
Pulaski County (501) 376-2211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Edmondson's NPI number?

The NPI number for Jacob Edmondson is 1013853399. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Jacob Edmondson located?

Jacob Edmondson practices at 4301 W Markham St, Little Rock, AR 72205. The listed phone number is (501) 686-8000.

What is Jacob Edmondson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacob Edmondson was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.