Individual
LEISA RENEE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
410 S CHURCH ST STE A, JONESBORO, AR 72401-2947
(870) 259-5794
(870) 454-8356
Mailing address
304 S MAIN ST APT C, JONESBORO, AR 72401-2999
(954) 610-6944
(870) 454-8356
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-14167
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214001795
—
AR
Enumeration date
03/22/2016
Last updated
01/15/2026
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