| Doctor Name: | MS. BRENDA G DICKINSON |
| NPI Number: | 1306873708 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ADVANCED NURSE PRACT |
| License Number: | A01473 |
| Business Practice Address: | 60 Greers Ferry Rd. Drasco, AR - 725300099 |
| Business Phone Number: | 8706683200 |
| Business Fax Number: | 8706683634 |
| Mailing Address: | 880 Copperfield Cv, HEBER SPRINGS |
| State: | AR |
| Postal Code: | 725436608 |
| Phone Number: | 8706683200 |
| Fax Number: | 8706683634 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A01473 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |