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Leslie Tai Weatherford, APRN
Family Nurse Practitioner in Wynne, Arkansas
NPI 1386257855

Leslie Tai Weatherford is a Family Nurse Practitioner based in Augusta, AR and is specialized in Family. Leslie Tai Weatherford practices in Wynne, AR and has the professional credentials of APRN. The NPI Number for Leslie Tai Weatherford is 1386257855 and holds a License No. 125494 (Arkansas).

The current practice location address for Leslie Tai Weatherford is 611 Julia Ave E, Wynne, AR and can be reached out via phone at 870-238-0377.

Location: 611 Julia Ave E, Wynne, AR, 72006-0497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386257855
Provider Name
Leslie Tai Weatherford
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
611 Julia Ave E, Wynne, AR, 72006-0497
Phone Number
870-238-0377
Fax Number
Provider Enumeration Date
08/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
611 Julia Ave E
City
Wynne
State
Arkansas
Zip
72396-3506
Phone Number
870-238-0377
Fax Number
person
Provider Business Mailing Address Details
Address
611 Julia Ave E
City
Wynne
State
Arkansas
Zip
72396-3506
Phone Number
870-238-0377
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
125494 (Arkansas)
Definition
Definition to come...
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