Individual
BRANDY L. BACCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2000
Mailing address
102 SHADY GROVE LN, SHERWOOD, AR 72120-3112
(501) 766-1135
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
217192
AR
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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