Individual
MRS. LEISA ANN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MERCY LN, STE 201, HOT SPRINGS, AR 71913-6457
(501) 609-2231
(501) 623-0921
Mailing address
PO BOX 21850, HOT SPRINGS, AR 71903-1850
(501) 609-2231
(501) 623-0921
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A01666
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179682758
—
AR
Enumeration date
06/24/2005
Last updated
07/07/2016
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