MRS. JAMILIA LASHAWN BROUSSARD MSN RN FNP-BC WCC NPI 1184122145

NPI Information

NPI: 1184122145
Provider Name: MRS. JAMILIA LASHAWN BROUSSARD, MSN RN FNP-BC WCC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PHYSIATRY ASSOCIATES OF TEXAS PLLC

PECOS Registration: Yes

Address:
1001 12TH AVE NW
ARDMORE, OK
ZIP 73401
Phone: (580) 220-6290
Get Directions

MRS. Jamilia Lashawn Broussard, MSN RN FNP-BC WCC is a family nurse practitioner in Ardmore, OK with 7 years of experience. MRS. Jamilia Lashawn Broussard, MSN RN FNP-BC WCC NPI is 1184122145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 12TH AVE NW
ARDMORE, OK
ZIP 73401-712
Phone: (580) 220-6290
Fax: (580) 220-6215

The NPI 1184122145 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2018 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP136689	TEXAS	Yes
2	363LF0000X	Nurse Practitioner	Family	821209	TEXAS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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