NPI 1376792457

Jasmin Ann Lease, PAC

Practitioner Physician Assistant Benton, AR

Practice location

Address: 2010 Active Way, Benton, AR 72019-7566
Phone: (501) 315-0984
Fax: (501) 847-1405
Mailing address: PO Box 3250, Benton, AR 72018-3250

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-349 (AR)

Other Physician Assistant providers in Arkansas →

Registry record

NPI: 1376792457
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2008
Record last updated: 3 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.