O'Fallon, Leia Dawn

O'Fallon, Leia Dawn is an individual health care provider with primary practice located at 535 Jordan Dr , Monticello AR 71655-5714. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. O'Fallon, Leia Dawn can be contacted via phone (870) 367-6246.

Contact Information

Primary practice address
535 Jordan Dr Monticello AR 71655-5714
Phone: (870) 367-6246
Fax: (855) 926-7383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X A01586 Arkansas

Profile Details

NPI number 1477269306
LBN Legal business name O'Fallon, Leia Dawn
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2023
Last updated Apr 18th, 2023 - about last year

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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