Individual
LESLIE KATHRYN PAMUNGKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
606 CO OP DR, VAN BUREN, AR 72956-6083
(479) 474-4249
Mailing address
606 CO OP DR, VAN BUREN, AR 72956-6083
(479) 474-4249
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R069469
AR
363LF0000X
Family Nurse Practitioner
Primary
233191
AR
Other
Enumeration date
06/19/2024
Last updated
10/26/2025
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