Individual
MRS. LESLIE LEANNE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP C
Contact information
Practice address
105 CARLTON DR, DUMAS, AR 71639-2836
(870) 377-4295
Mailing address
PO BOX 953, DUMAS, AR 71639-0953
(870) 377-4295
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
A006265
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A006265
NURSE PRACTITIONER LICENSE
AR
Enumeration date
06/04/2019
Last updated
06/04/2019
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