Dr JAMILIA LASHAWN BROUSSARD is a female medical professional, specializing in Nurse Practitioner. She graduated in 2017.
MERCY CLINIC OKLAHOMA COMMUNITIES
1001 12TH NW AVE
MERCY CLINIC
ARDMORE
OK
734015712
Tel: 5802230447
| Npi | 1184122145 |
| Pac Id | 6800144916 |
| Professional Enrollment Id | I20180807000961 |
| Last Name | BROUSSARD |
| First Name | JAMILIA |
| Middle Name | LASHAWN |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Group Practice Pac Id | 1153468921 |
| Number Of Group Practice Members | 417 |
| Line 1 Street Address | 1001 12TH NW AVE |
| Line 2 Street Address | MERCY CLINIC |
| Marker Of Address Line 2 Suppression | |
| City | ARDMORE |
| State | OK |
| Zip Code | 734015712 |
| Phone Number | 5802230447 |
| Hospital Affiliation Ccn 1 | 370047 |
| Hospital Affiliation Lbn 1 | MERCY HOSPITAL ARDMORE, INC |
| Hospital Affiliation Ccn 2 | 371306 |
| Hospital Affiliation Lbn 2 | MERCY HEALTH LOVE COUNTY |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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