Healthcare Provider Details

I. General information

NPI: 1346175239
Provider Name (Legal Business Name): LISA NECHOLE WITCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 4TH ST
HOT SPRINGS AR
71913-3948
US

IV. Provider business mailing address

619 4TH ST
HOT SPRINGS AR
71913-3948
US

V. Phone/Fax

Practice location:
  • Phone: 501-538-1965
  • Fax:
Mailing address:
  • Phone: 501-538-1965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: