Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakesha Nicole Brisbane

Individual provider Family Nurse Practitioner · NPI 1790318848

Lakesha Nicole Brisbane is a Nurse Practitioner in Clarksville, Tennessee. Qualified in 2019, 7 years ago. Practices with Ultra Health LLC, a 162-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Tennessee.

Years since qualifying
7
Licensed in
KY, TN
In the registry since
2020
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

812 Greenwood Ave
Clarksville, TN 37040-4068
Phone: (888) 291-4357
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 27023 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3014418 (KY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 27023 (TN)

Record details

NPI number1790318848
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ultra Health Llc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Clarksville