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NPI Code Detail

MEDICARE: MRS. LESLIE R. WHITEFIELD APRN

MEDICARE:  MRS. LESLIE R. WHITEFIELD  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA003152AR
2363LP0200XPediatric Nurse PractitionerA003152AR

General Provider Information

NPI Number : 1134383276
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESLIE R. WHITEFIELD APRN
Provider Business Mailing Address
First Line : 21019 HIGHWAY 167 STE 200
Second Line :
City : HENSLEY
State : AR
Zip : 72065-8154
Country : US
Telephone Number : 501-261-7630
Fax Number : 501-261-7625
Provider Business Practice Location Address
First Line : 21019 HIGHWAY 167 STE 200
Second Line :
City : HENSLEY
State : AR
Zip : 72065-8154
Country : US
Telephone Number : 501-261-0517
Fax Number : 501-261-7625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2008
Last Update Date : 01/06/2023

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Directions to “ MRS. LESLIE R. WHITEFIELD APRN” Practice Location

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