Jamilia Lashawn Broussard (NPI# 1184122145, PAC ID# 6800144916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1184122145 |
| PAC ID by PECOS | 6800144916 |
| Professional Enrollment ID | I20180807000961 |
| Full Name | Jamilia Lashawn Broussard |
| Organization Legal Name | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Address |
1001 12th Nw Ave Mercy Clinic Ardmore OK 73401-5712 |
| Phone Number | 5802230447 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153468921 |
| Number of Group Practice Members | 451 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370047 | MERCY HOSPITAL ARDMORE, INC |
| Address | Phone | Organization |
|---|---|---|
| 1001 12th Nw Ave, Mercy Clinic, Ardmore, OK 73401-5712 | 5802230447 | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Organization Legal Name | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Physicians | 496 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramsha Saleem | Internal Medicine | Mercy Clinic Oklahoma Communities | 520 N Monte Vista St A, Mercy Clinic, Ada, OK 74820-4674 |
| Kyle R Judkins | Family Medicine | Mercy Clinic Oklahoma Communities | 1060 Sw 4th St, Moore, OK 73160-2494 |
| Peter Louis Tran | Nurse Practitioner | Mercy Clinic Oklahoma Communities | 4505 Memorial Cir, Oklahoma City, OK 73142-5004 |
| Kimberly Litton Peck | Clinical Social Worker | Mercy Clinic Oklahoma Communities | 14001 Mcauley Blvd, Suite 200, Oklahoma City, OK 73134-7004 |
| Julie M Shelley | Family Practice | Mercy Clinic Oklahoma Communities | 2601 Sw 119th St, Oklahoma City, OK 73170-2625 |
| Henry Le | Internal Medicine | Mercy Clinic Oklahoma Communities | 2115 Parkview Dr, El Reno, OK 73036-2109 |
| Christopher Michael Henry | Internal Medicine | Mercy Clinic Oklahoma Communities | 13313 N Meridian Ave D, Mercy Clinic, Oklahoma City, OK 73120-8316 |
| Dekoda Kole Bost | Family Medicine | Mercy Clinic Oklahoma Communities | 11900 Nw Expressway, Yukon, OK 73099-8795 |
| Sneha Pranjal Desai | Obstetrics/gynecology | Mercy Clinic Oklahoma Communities | 1020 N Commerce St, Mercy Clinic Primary Care Commerce, Ardmore, OK 73401-3920 |
| Jennifer Lauren Lee | Nurse Practitioner | Mercy Clinic Oklahoma Communities | 4300 Mcauley Blvd, Oklahoma City, OK 73120-8302 |
| Street Address |
1001 12TH NW AVE MERCY CLINIC |
| City | ARDMORE |
| State | OK |
| Zip | 73401-5712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Willis | Family Practice | Mercy Clinic Oklahoma Communities | 1001 12th Nw Ave, Mercy Clinic, Ardmore, OK 73401-5712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip E Carron | Family Medicine | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Vanessa Pearson | Preventative Medicine | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Pinky B Pratt | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Stephanie Sims | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Marci Story | Nurse Practitioner | Medexpress Primary Care Oklahoma PC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Margaret I Scifres | Nurse Practitioner | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Suzanne Tuck | Nurse Practitioner | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Phillip Nokes | Family Practice | Healthworks Medical Group of Oklahoma, P.C. | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Stephen Klassen | Physical Therapy | Imc of Oklahoma LLC | 1105 Michelin Rd, Ardmore, OK 73401-1085 |
| Joel K Troop | Orthopedic Surgery | Southern Oklahoma Multiple Services Inc P C | 2002 12th Ave Nw, Suite B, Ardmore, OK 73401-1206 |
| Find all physicians in zip 73401 | |||
| City | ARDMORE |
| Zip Code | 73401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ARDMORE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jamilia Lashawn Broussard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.