SearchArkansas104100000X

Peggie Tisdale-Brown

NPI 1053816827 · on the registry since 2018 · sole proprietor

Practice

Address
1864 E Parkshore Dr Apt 11
Fayetteville, AR 72703
Phone
(479) 443-4301
Fax
(479) 587-5994

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas