Individual
JUDY ANN LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5 MARKET PL, PARAGOULD, AR 72450-3555
(870) 236-4001
(870) 236-4009
Mailing address
5 MARKET PL, PARAGOULD, AR 72450-3555
(870) 236-4001
(870) 236-4009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01000
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148478758
—
AR
Enumeration date
04/05/2006
Last updated
08/22/2016
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