Individual
MS. PATRICIA DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
(870) 424-4112
Mailing address
189 ROAD 1440, MOUNTAIN HOME, AR 72653-8134
(870) 424-7375
(870) 424-4112
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R056452
AR
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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