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Individual

JEAN M LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
306 N CHESTNUT ST, HARRISON, AR 72601-4453
(870) 741-8559
(870) 741-8423
Mailing address
306 N CHESTNUT ST, HARRISON, AR 72601-4453
(870) 741-8559
(870) 741-8423

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03155ANP
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129735729
AR
05
136428729
AR
05
199554758
AR
01
A03155ANP
APN LICENSE
AR
Enumeration date
03/05/2008
Last updated
02/24/2020
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