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Individual

LEAH EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
112 W CENTER ST STE 200, FAYETTEVILLE, AR 72701-6073
(501) 661-0720
(501) 325-7938
Mailing address
455 W CLEBURN ST, FAYETTEVILLE, AR 72701-1916
(501) 952-0883

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R73494
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A003320
AR

Other

Enumeration date
08/06/2009
Last updated
07/12/2021
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