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MARY PULLIAM
NPI 1255796728
Specialist in Jonesboro, AR

Active since December 28, 2015
1699 RED WOLF BLVD STE H, JONESBORO, AR 72401(870) 336-0021(870) 336-0022 Get Directions Write a Review

NPPES record last updated: December 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Pulliam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY PULLIAM (NPI 1255796728) is an individual specialist in Jonesboro, Arkansas, licensed in Arkansas (OTR382) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1255796728
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMARY PULLIAM
Location Address1699 RED WOLF BLVD STE HJonesboro, AR 72401-5453
Mailing Address1699 Red Wolf Blvd Ste HJonesboro, AR 72401-5453 · (870) 336-0021 · Fax (870) 336-0022
Phone(870) 336-0021
Fax(870) 336-0022
Sole ProprietorYes
Enumeration DateDecember 28, 2015
✔ NPI 1255796728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AR · OTR382
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1699 RED WOLF BLVD STE H, Jonesboro, AR 72401
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER ALLISON
Specialist
1699 RED WOLF BLVD STE H
JONESBORO, AR 72401
Craighead County (870) 476-3608
ASHLEY MARSHALL
Specialist/Technologist (Speech-Language Assistant)
1699 RED WOLF BLVD STE H
JONESBORO, AR 72401
Craighead County (870) 336-0021
MALLARY BAKER
Specialist/Technologist (Speech-Language Assistant)
1699 RED WOLF BLVD STE H
JONESBORO, AR 72401
Craighead County (870) 336-0021
ROBYN ELLIOTT PTA
Physical Therapy Assistant
1699 RED WOLF BLVD STE H
JONESBORO, AR 72401
Craighead County (870) 336-0021
KRISTEN HOGAN
Speech-Language Pathologist
1699 RED WOLF BLVD STE H
JONESBORO, AR 72401
Craighead County (870) 336-0021
RHONDA SUZANNE WADDELL
Speech-Language Pathologist
1699 RED WOLF BLVD STE H
JONESBORO, AR 72401
Craighead County (870) 926-2692
EMILY ELIZABETH POGUE
Specialist/Technologist (Speech-Language Assistant)
1699 RED WOLF BLVD STE H
JONESBORO, AR 72401
Craighead County (870) 336-0021
SHELLEY LEIGH SEWELL
Occupational Therapy Assistant
1699 RED WOLF BLVD STE H
JONESBORO, AR 72401
Craighead County (870) 761-0126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pulliam's NPI number?

The NPI number for Mary Pulliam is 1255796728. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Where is Mary Pulliam located?

Mary Pulliam practices at 1699 Red Wolf Blvd Ste H, Jonesboro, AR 72401. The listed phone number is (870) 336-0021.

What is Mary Pulliam's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mary Pulliam was last updated on December 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.