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Individual

MRS. LESLIE JEAN HUMISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1 CHILDRENS WAY # 840, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-3960
Mailing address
1 CHILDRENS WAY # 840, LITTLE ROCK, AR 72202-3500
(501) 364-1100
(501) 364-3960

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
A01733
AR
363LP0200X
Pediatric Nurse Practitioner
Primary
A01733
AR

Other

Enumeration date
06/18/2007
Last updated
03/28/2012
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