Individual provider · Type 1 NPI

Mattison Grace Fairchild, BS

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1609744101 Active

Practice location

4301 W Markham St
Little Rock, AR 72205-7199

Call (501) 697-6137 Map

Mailing address

4225 Tree House Dr
Conway, AR 72034-8273

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609744101

Mattison Grace Fairchild, BS's National Provider Identifier is 1609744101, issued on Oct 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Oct 27, 2025.