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General NPI Number Information
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NPI Number | 1083082739
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Entity Type | Individual
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Provider Name | BRITTANY KILLIAN APRN
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Gender | Female
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 2707 BROWNS LN
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City | JONESBORO
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State | AR
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Zip | 72401-7213
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Country | US
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Telephone | 870-972-4000
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Fax | 870-972-4968
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Provider Business Mailing Address
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Address Line | 2400 S 48TH ST
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City | SPRINGDALE
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State | AR
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Zip | 72762-6683
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Country | US
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Telephone | 479-750-2020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR24120100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ01350100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | A005640
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License Number State | AR
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