Coker, Lisa Deniece
Coker, Lisa Deniece is an sole proprietor health care provider with primary practice located at 1500 Dodson Ave Ste 280 , Fort Smith AR 72901-5182. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Coker, Lisa Deniece can be contacted via phone (479) 542-1500.Contact Information
Primary practice address
1500 Dodson Ave Ste 280
Fort Smith AR 72901-5182
Phone: (479) 542-1500
Fax: (833) 455-6711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A004879 | Arkansas |
Profile Details
| NPI number | 1265986913 |
|---|---|
| LBN Legal business name | Coker, Lisa Deniece |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2016 |
| Last updated | Jul 21st, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265986913 | NPPES |
| Oklahoma | MEDICAID | 200676450A | |
| Oklahoma | MEDICAID | 217066758 |
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