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Individual

LEAH CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2201 HORIZAN RD STE 4, WEST MEMPHIS, AR 72301-2926
(870) 732-0332
Mailing address
401 COUNTRY CLUB RD, WEST MEMPHIS, AR 72301-3883
(501) 766-6774

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R093788
AR
363LA2100X
Acute Care Nurse Practitioner
217600
AR
363LA2100X
Acute Care Nurse Practitioner
30222
TN
363LF0000X
Family Nurse Practitioner
Primary
217600
AR

Other

Enumeration date
08/24/2021
Last updated
01/09/2022
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