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MS. BRENDA G DICKINSON ADVANCED NURSE PRACT

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1306873708

Individual Registrant:
MS. BRENDA G DICKINSON ADVANCED NURSE PRACT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
60 GREERS FERRY RD.  DRASCO, AR 72530-0099 US
Tel: 870-668-3200  Fax: 870-668-3634

Contact information for business:
880 COPPERFIELD CV  HEBER SPRINGS, AR 72543-6608 US
Tel: 870-668-3200  Fax: 870-668-3634

Registration Information:
NPI: 1306873708
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA01473

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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