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General NPI Number Information
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NPI Number | 1538729116
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Entity Type | Individual
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Provider Name | LEAH GATHRIGHT CPNP-PC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 410 S CHURCH ST STE A
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City | JONESBORO
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State | AR
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Zip | 72401-2947
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Country | US
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Telephone | 870-259-5794
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Fax | 870-454-8356
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | MONETTE
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State | AR
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Zip | 72447-0054
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Country | US
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Telephone | 870-926-7373
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R102220
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 120494
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 120494
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License Number State | AR
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