Pulliam, Jacquelyn

Pulliam, Jacquelyn is an sole proprietor health care provider with primary practice located at 18 County Road 458 , Mountain Home AR 72653-8212. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Pulliam, Jacquelyn can be contacted via phone (870) 425-5252.

Contact Information

Primary practice address
18 County Road 458 Mountain Home AR 72653-8212
Phone: (870) 425-5252
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1164639324
LBN Legal business name Pulliam, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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