Brenda G Dickinson, ADVANCED NURSE PRACT
Individual provider Active NPI Family Nurse Practitioner · Drasco, AR
NPI 1306873708 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306873708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A01473 (AR)
- Practice address
- 60 Greers Ferry Rd.
Drasco, AR 72530-0099 - Phone
- (870) 668-3200
- Fax
- (870) 668-3634
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A01473 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medical Care, PA | Past | Accepting new patients | |
| Arkansas Health Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A01473 | AR | Yes |
Addresses
Primary practice location
60 Greers Ferry Rd.
Drasco, AR 72530-0099
Mailing address
880 Copperfield CV
Heber Springs, AR 72543-6608
Phone (870) 668-3200
Other providers in Drasco, AR
- Tracy Elizabeth Carroll
- Sarah Clay
- Kayla Krystyna Crawford
- Jennifer Tosh
- White River Health System, Inc.
All providers in Drasco, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.