Healthcare Provider Details

I. General information

NPI: 1538729116
Provider Name (Legal Business Name): LEAH GATHRIGHT CPNP-PC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 S CHURCH ST STE A
JONESBORO AR
72401-2947
US

IV. Provider business mailing address

PO BOX 54
MONETTE AR
72447-0054
US

V. Phone/Fax

Practice location:
  • Phone: 870-259-5794
  • Fax: 870-454-8356
Mailing address:
  • Phone: 870-926-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number120494
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR102220
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number120494
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: