IndividualActive
Blake Jacks, M.D.
NPI 1255726956 · Vascular & Interventional Radiology Physician · Little Rock, AR
Provider details
- NPI number
- 1255726956
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- E-12730 (AR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
8901 Carti Way
Little Rock, AR 72205-6523
Phone: (501) 906-3000
Fax: (501) 907-6522
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 55050
Little Rock, AR 72215-5050
Registry dates
- Enumerated
- 2015-03-31
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.