Search › Arkansas › 101YA0400X
Jerriod Broadnax, LADAC, NCAC-II, CFC
NPI 1427116581 · on the registry since 2006 · sole proprietor
Practice
- Address
- 509 E. Milsap Road
Suite 9
Fayetteville, AR 72703 - Phone
- (479) 879-7038
- Fax
- (479) 340-0500
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101Y00000X
101YP2500X
171M00000X - Licence states on file
- IN, VA, AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-10
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