Healthcare Provider Details

I. General information

NPI: 1376486449
Provider Name (Legal Business Name): SARA BOBBITT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARA TALLEY RN

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 W VINE AVE
SEARCY AR
72143-4200
US

IV. Provider business mailing address

308 W VINE AVE
SEARCY AR
72143-4200
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-3158
  • Fax: 501-278-2212
Mailing address:
  • Phone: 501-268-3158
  • Fax: 501-278-2212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number121059
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: