Stephani Brooke Brisbin

Physician Assistant · Broken Arrow, OK

Individual Active NPI

NPI number 1487151106

Practice location

2950 S Elm Pl
Broken Arrow, OK 74012-7877
Phone
(918) 451-5191

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NPI record

NPI
1487151106
Entity type
Individual (Type 1)
Enumeration date
April 9, 2018
Last updated
April 9, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 2857 OK

Mailing address

364355 E 5000 Rd
Cleveland, OK 74020-6904
Phone
(931) 436-7146

About Stephani Brisbin

Stephani Brooke Brisbin is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2950 S Elm Pl, Broken Arrow, OK 74012-7877. The NPI number 1487151106 was assigned on April 9, 2018 and the record was last updated on April 9, 2018.

Stephani Brisbin lists a license in the registry: #2857 (OK) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stephani Brooke Brisbin?

The NPI number is 1487151106.

What is the phone number of Stephani Brisbin?

The phone number listed for the practice location is (918) 451-5191.

Where is Stephani Brisbin located?

2950 S Elm Pl, Broken Arrow, OK 74012-7877.

What is the taxonomy code for Stephani Brisbin?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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