Individual
DR. JARRETT BOYD LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 HIGHWAY 5 N, BRYANT, AR 72022-7005
(501) 847-0289
(501) 847-8748
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 847-0289
(501) 847-8748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-4782
AR
207QA0505X
Adult Medicine Physician
E4782
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161190001
—
AR
Enumeration date
12/01/2005
Last updated
02/14/2024
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