Female

Mrs. Leia D. O'Fallon ANP

Obstetrics & Gynecology Nurse Practitioner in Monticello, AR(View on Map)

Full Name

Mrs. Leia Dawn O'Fallon ANP

NPI Number

1477269306

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/24/2023

Specialties

(Taxonomies)

Code

363LX0001X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

A01586

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 509
535 JORDAN DR

City

Dermott
Monticello

State

AR
AR

Postal Code

71638-0509
71655-5714

Country

US
US

Telephone Number

(870) 538-5414
(870) 367-6246

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/18/2023

Provider Address