LISA BROOKE RENFROW (NPI# 1578003927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578003927 |
| Entity Type | Individual |
| Full Name | LISA BROOKE RENFROW |
| Other Name | LISA BROOKE PERKINS |
| Credential | APRN |
| Practice Address |
2809 Circle Dr Muskogee OK 74403-6020 |
| Practice Telephone | 9183603794 |
| Mailing Telephone | 9183603794 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0080011 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | R0080011 | OK | Student, Health Care |
| Street Address |
2809 CIRCLE DR |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767308 | Christopher Bryan Essex | Nurse Practitioner | 4101 High Oaks St, Muskogee, OK 74401-1306 | 2020-07-16 |
| 1891353967 | Anita Bryant | Nurse Practitioner | 7158 S 3rd Pl W, Muskogee, OK 74401-7042 | 2019-06-03 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1982622965 | Vickie Gaylin Holland | Nurse Practitioner | 1011 Honor Heights Dr., Muskogee, OK 74401-1318 | 2006-07-17 |
| 1104816602 | Michael S. Smith | Nurse Practitioner | 1118 W Broadway St, Muskogee, OK 74401-6246 | 2005-10-26 |
| 1386291037 | Marlo Annette Barnes-davis | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-08-19 |
| 1962054478 | Darren Eugene Richison | Nurse Practitioner | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-07-15 |
| 1699230961 | Monica Hare | Nurse Practitioner | 209 S 36th St, Muskogee, OK 74401-5043 | 2019-01-31 |
| 1114490968 | Robert Lee Jones Jr. | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2019-01-04 |
| 1366914434 | Jennifer Lynn Adoh | Nurse Practitioner | 350 S 40th St, Muskogee, OK 74401-4915 | 2018-12-29 |
| Find all providers in MUSKOGEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.