Individual
LAKESHA NICOLE BRISBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(888) 291-4357
Mailing address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
27023
TN
363LF0000X
Family Nurse Practitioner
3014418
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27023
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14619675
CAQH
—
Enumeration date
02/18/2020
Last updated
12/02/2025
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