| Mrs Lisa J Booker, APN | |
|
260 West Broad Street, Lepanto, AR 72354-0000 | |
| (870) 475-3180 | |
| (870) 475-3185 |
| Full Name | Mrs Lisa J Booker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 260 West Broad Street, Lepanto, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053528778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AO1659 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Bernards Medical Center | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Bernards Physician Clinics Inc | 7012311269 | 182 |
| Entity Name | Doctors Health Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667895 PECOS PAC ID: 7315844586 Enrollment ID: O20040421001512 |
| Entity Name | St Bernards Physician Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa J Booker, APN 260 West Broad Street, P.o. Box 723, Lepanto, AR 72354-0723 Ph: (870) 475-3180 | Mrs Lisa J Booker, APN 260 West Broad Street, Lepanto, AR 72354-0000 Ph: (870) 475-3180 |
David Smith, MSN,APRN,AGCNS-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37714 Abbott Rd, Lepanto, AR 72354 Phone: 870-549-1949 | |
Kristi Renee Allen, A.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 102 W Broad St, Lepanto, AR 72354 Phone: 870-475-2977 Fax: 870-475-3440 | |
Regina Strop, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 730 Greenwood Ave, Lepanto, AR 72354 Phone: 870-475-3825 |