Individual
MS. BONNIE E DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
617 MARION ST, SEARCY, AR 72143-4845
(501) 305-9826
(501) 279-3089
Mailing address
617 MARION ST, SEARCY, AR 72143-4845
(501) 305-9826
(501) 279-3089
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01554
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165031758
—
AR
Enumeration date
11/20/2006
Last updated
01/06/2011
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