PHAGEN LEEKS
NPI 1336586171
Licensed Practical Nurse in Cabot, AR

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since June 03, 2013

2792 S 2ND ST STE B, CABOT, AR 72023(870) 932-3600 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Phagen Leeks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHAGEN LEEKS (NPI 1336586171) is an individual licensed practical nurse in Cabot, Arkansas, licensed in Arkansas (120253) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1336586171

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NamePHAGEN LEEKS

Location Address2792 S 2ND ST STE BCabot, AR 72023-7064

Mailing Address2792 S 2nd St Ste BCabot, AR 72023-7064 · (870) 932-3600

Phone(870) 932-3600

Sole ProprietorNo

Enumeration DateJune 3, 2013

Last NPPES UpdateAugust 2, 2019

✔ NPI 1336586171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in AR · 120253

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Also ListedSpecialistTaxonomy 174400000X

2792 S 2ND ST STE B, Cabot, AR 72023

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