Individual
AMANDA CHRISTINE LEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1609 W 40TH AVE STE 300, PINE BLUFF, AR 71603-6366
(870) 541-6045
(870) 541-6046
Mailing address
PO BOX 509, DERMOTT, AR 71638-0509
(870) 538-5414
(870) 538-5412
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A003742
AR
363LW0102X
Women's Health Nurse Practitioner
Primary
A003742
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196002758
—
AR
Enumeration date
09/20/2012
Last updated
04/29/2026
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