Leach, Judy Ann
Leach, Judy Ann is an individual health care provider with primary practice located at 5 Market Pl , Paragould AR 72450-3555. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leach, Judy Ann can be contacted via phone (870) 236-4001.Contact Information
Primary practice address
5 Market Pl
Paragould AR 72450-3555
Phone: (870) 236-4001
Fax: (870) 236-4009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A01000 | Arkansas |
Profile Details
| NPI number | 1790747525 |
|---|---|
| LBN Legal business name | Leach, Judy Ann |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Aug 22nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790747525 | NPPES |
| Arkansas | MEDICAID | 148478758 |
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