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LEAH JACKS WILLIAMS APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1093191025

Individual Registrant:
 LEAH JACKS WILLIAMS APRN
Gender: F
Sole Proprietor

Location and contact information for practice:
110 N DREW  STAR CITY, AR 71667 US
Tel: 870-628-5110  Fax: 870-628-5949

Contact information for business:
PO BOX 509  DERMOTT, AR 71638-0509 US
Tel: 870-538-5414  Fax: 870-538-5412

Registration Information:
NPI: 1093191025
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
ARA004413

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AR - Page 1



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