Individual provider · Type 1 NPI

Mary Pulliam

Specialist · Jonesboro, AR

NPI number 1255796728 Active

Practice location

1699 Red Wolf Blvd Ste H
Jonesboro, AR 72401-5453

Call (870) 336-0021 Map

Fax (870) 336-0022

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XOTR382 (AR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255796728

Mary Pulliam's National Provider Identifier is 1255796728, issued on Dec 28, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jonesboro, AR. The record was last updated on Dec 28, 2015.