person
Mrs. Jamilia Lashawn Broussard, MSNRNFNP-BCWCC
Family Nurse Practitioner in Ardmore, Oklahoma
NPI 1184122145

Jamilia Lashawn Broussard is a Family Nurse Practitioner based in Dallas, OK and is specialized in Family. Jamilia Lashawn Broussard practices in Ardmore, OK and has the professional credentials of MSNRNFNP-BCWCC. The NPI Number for Jamilia Lashawn Broussard is 1184122145 and holds a License No. 821209 (Oklahoma).

The current practice location address for Jamilia Lashawn Broussard is 1001 12Th Ave Nw, Ardmore, OK and can be reached out via phone at 580-220-6290 and via fax at 580-220-6215.

Location: 1001 12Th Ave Nw, Ardmore, OK, 75267-8219
person
Provider Profile Details
NPI Number
1184122145
Provider Name
Jamilia Lashawn Broussard
Credential
MSNRNFNP-BCWCC
Provider Entity Type
Individual
Gender
Female
Address
1001 12Th Ave Nw, Ardmore, OK, 75267-8219
Phone Number
580-220-6290
Fax Number
580-220-6215
Provider Enumeration Date
01/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1001 12Th Ave Nw
City
State
Zip
73401-5712
Phone Number
580-220-6290
Fax Number
580-220-6215
person
Provider Business Mailing Address Details
Address
1001 12Th Ave Nw
City
State
Zip
73401-5712
Phone Number
580-220-6290
Fax Number
580-220-6215
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
821209 (Texas)
Definition
Definition to come...
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