Healthcare Provider Details

I. General information

NPI: 1437470978
Provider Name (Legal Business Name): ALISON LEAH HUMPHREY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MCCOY DR
HARRISON AR
72601-2417
US

IV. Provider business mailing address

PO BOX 2990
HARRISON AR
72602-2990
US

V. Phone/Fax

Practice location:
  • Phone: 870-741-4368
  • Fax: 870-741-9515
Mailing address:
  • Phone: 870-741-4368
  • Fax: 870-741-9515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberE-16054
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: