Individual
LESLIE TAI WEATHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 MAIN ST, AUGUSTA, AR 72006-2449
(870) 347-3402
(870) 347-3401
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
125494
AR
Other
Enumeration date
08/25/2020
Last updated
01/21/2026
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