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General NPI Number Information
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NPI Number | 1023828738
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Entity Type | Organization
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Legal Business Name | LEE'S MEDICAL PRACTICE AND CONSULTING, LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 2007 FENDLEY DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-1806
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Country | US
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Telephone | 501-246-3261
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Fax | 501-916-2776
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Provider Business Mailing Address
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Address Line | 2007 FENDLEY DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-1806
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Country | US
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Telephone | 501-246-3261
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Fax | 501-916-2776
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Authorized Official
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Title or Position | DNP, PMHMP-BC, FNP-C, APRN
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Name | DR. SHERITA ANTOINETTE LEE
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Credential |
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Telephone | 501-246-3261
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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