Provider Demographics
NPI:1134315997
Name:LEE, ELIZABETH ANN (MSN, APN, APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ANN
Last Name:LEE
Suffix:
Gender:F
Credentials:MSN, APN, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HARDING UNIVERSITY
Mailing Address - Street 2:BOX 12265
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72149-0001
Mailing Address - Country:US
Mailing Address - Phone:501-279-4689
Mailing Address - Fax:501-305-8902
Practice Address - Street 1:104 E VINE AVE
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4227
Practice Address - Country:US
Practice Address - Phone:501-268-5383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARS01119364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical