person
Jacqueline Alexandra Pulliam
Student in an Organized Health Care Education/Training Program in Little Rock, Arkansas
NPI 1013658780

Jacqueline Alexandra Pulliam is a Student in an Organized Health Care Education/Training Program based in Memphis, AR. Jacqueline Alexandra Pulliam practices in Little Rock, AR. The NPI Number for Jacqueline Alexandra Pulliam is 1013658780 and holds a License No. (Arkansas).

The current practice location address for Jacqueline Alexandra Pulliam is 4301 W Markham St # 634, Little Rock, AR and can be reached out via phone at 501-686-7592.

Location: 4301 W Markham St # 634, Little Rock, AR, 38104-5201
person
Provider Profile Details
NPI Number
1013658780
Provider Name
Jacqueline Alexandra Pulliam
Credential
Provider Entity Type
Individual
Gender
Female
Address
4301 W Markham St # 634, Little Rock, AR, 38104-5201
Phone Number
501-686-7592
Fax Number
Provider Enumeration Date
04/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4301 W Markham St # 634
City
State
Zip
72205-7101
Phone Number
501-686-7592
Fax Number
person
Provider Business Mailing Address Details
Address
4301 W Markham St # 634
City
State
Zip
72205-7101
Phone Number
501-686-7592
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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