Individual
MR. BRANDON DRAKE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHPP
Contact information
Practice address
1900 PINE ST, NORTH LITTLE ROCK, AR 72114-2401
(501) 771-8261
Mailing address
107 42ND PL APT B, NORTH LITTLE ROCK, AR 72116-8162
(501) 416-4367
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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