NPI 1245064831

Brandy Dillard

Practitioner Contractor Jacksonville, AR

Practice location

Address: 1005 Stevenson Cv, Jacksonville, AR 72076-4872
Phone: (501) 596-5151

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 912420196 (AR)

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Registry record

NPI: 1245064831
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2024
Record last updated: 27 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.