Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Pulliam

Individual provider Specialist · NPI 1255796728

Mary Pulliam is a Specialist in Jonesboro, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2015
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Practice location Address checks out

1699 Red Wolf Blvd Ste H
Jonesboro, AR 72401-5453
Phone: (870) 336-0021
Fax: (870) 336-0022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OTR382 (AR)

Record details

NPI number1255796728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 28, 2015
Last updated in NPPESDecember 28, 2015

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