Lakesha Nicole Brisbane, | |
950 Highpoint Dr, Hopkinsville, KY 42240-2570 | |
(731) 394-1145 | |
(855) 632-8329 |
Full Name | Lakesha Nicole Brisbane |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 950 Highpoint Dr, Hopkinsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790318848 | NPI | - | NPPES |
14619675 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 3014418 (Kentucky) | Primary |
Entity Name | Shc Medical Partners Of Tennessee, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609051895 PECOS PAC ID: 1951487826 Enrollment ID: O20080318000852 |
Entity Name | Ultra Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922469543 PECOS PAC ID: 6800186602 Enrollment ID: O20160607002194 |
Entity Name | Abode Care Partners Ltc Vb, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972372225 PECOS PAC ID: 8325316516 Enrollment ID: O20240129001302 |
Mailing Address | Practice Location Address |
---|---|
Lakesha Nicole Brisbane, 960 Woody Hills Dr, Clarksville, TN 37040-4124 Ph: (931) 378-2405 | Lakesha Nicole Brisbane, 950 Highpoint Dr, Hopkinsville, KY 42240-2570 Ph: (731) 394-1145 |
Abby Jo Lara, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Clinic Dr, Hopkinsville, KY 42240 Phone: 270-707-3354 Fax: 270-707-3351 | |
Kayla Brooke Creekmur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2955 Fort Campbell Blvd, Hopkinsville, KY 42240 Phone: 270-632-1548 | |
Seon Hui Balistrere, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1724 Kenton St Ste 1b, Hopkinsville, KY 42240 Phone: 270-886-8840 | |
Hope B Clark, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1717 High St Ste 4b, Hopkinsville, KY 42240 Phone: 270-887-9058 Fax: 270-997-9341 | |
Amy Michelle Barnes, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1724 Kenton St Ste 1b, Hopkinsville, KY 42240 Phone: 270-886-8840 Fax: 270-886-8869 | |
Mrs. Lauren Ellen Gary, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Burley Ave, Hopkinsville, KY 42240 Phone: 270-887-6767 | |
Lakaya Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Walton Way, Hopkinsville, KY 42240 Phone: 270-886-1919 |