Brianna N Nix
Individual provider Active NPI Speech-Language Assistant · Fordyce, AR
NPI 1487937538 · NPPES record last updated Sep 26, 2011
Key facts
- NPI
- 1487937538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 251C00000X (AR)
- Practice address
- 1717 Industrial Dr
Fordyce, AR 71742-7104 - Phone
- (870) 352-7349
- NPI assigned
- Sep 26, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251C00000X | AR | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 251C00000X | AR | Yes |
Addresses
Primary practice location
1717 Industrial Dr
Fordyce, AR 71742-7104
Mailing address
1717 Industrial Dr
Fordyce, AR 71742-7104
Other providers in Fordyce, AR
- Michael D Payne MD PLLC PA
- Youlonda Nix Miller
- Joy Susanne Moody
- Dan Moore
- Patrick Paul Moseley Jr.
- Janice Nolen
- Samara Nolen
- Alisa Kijuana Oneal
- Kimra Lynn Osburn
- Sondra Lynn Parker
All providers in Fordyce, AR · Speech-Language Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2011. 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.