Individual
DEBORAH DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
(731) 658-3388
(731) 659-3131
Mailing address
445 NUCKOLLS RD, BOLIVAR, TN 38008-1539
(731) 658-3388
(731) 659-4079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95302
TN
363LF0000X
Family Nurse Practitioner
Primary
22871
TN
Other
Enumeration date
05/11/2017
Last updated
05/05/2025
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