Leslie, Jean M

Leslie, Jean M is an individual health care provider with primary practice located at 306 N Chestnut St , Harrison AR 72601-4453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leslie, Jean M can be contacted via phone (870) 741-8559.

Contact Information

Primary practice address
306 N Chestnut St Harrison AR 72601-4453
Phone: (870) 741-8559
Fax: (870) 741-8423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A03155ANP Arkansas

Profile Details

NPI number 1801066808
LBN Legal business name Leslie, Jean M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Feb 24th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801066808 NPPES
Arkansas Other A03155ANP APN LICENSE
Arkansas MEDICAID 129735729 APN LICENSE
Arkansas MEDICAID 136428729 APN LICENSE
Arkansas MEDICAID 199554758 APN LICENSE

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