Justice Lee West, APN
Individual provider Active NPI Nurse Practitioner · Murfreesboro, AR
NPI 1033680962 · NPPES record last updated Dec 17, 2018
Key facts
- NPI
- 1033680962
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- A006010 (AR)
- Practice address
- 319 E 13TH St
Murfreesboro, AR 71958-9541 - Phone
- (870) 285-3118
- NPI assigned
- Dec 17, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A006010 | AR | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A006010 | AR | Yes |
Addresses
Primary practice location
319 E 13TH St
Murfreesboro, AR 71958-9541
Mailing address
PO Box 21850
Hot Springs, AR 71903-1850
Other providers in Murfreesboro, AR
- State of Arkansas
- Regina Tatum
- Darwin Turner
- Urgent Care of Pike County LLC
- Michael Ryan Wainscott
- Abigail Jane Wilhite
All providers in Murfreesboro, AR · Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.