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Tiffany Bracamonte

Founder & Nurse Practitioner

Master Injector and Educator

Hormone + Weight Loss Specialist

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Springfield + Joplin

417 Refine was established in 2020 by Tiffany Bracamonte, MSN, FNP-C. 

Tiffany had 10+ years in Emergency Medicine under her belt when she found her passion for the aesthetic industry. Since then, she has added injectors, mentorships, established multiple locations, and added a range of services to her offerings.

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Elizabeth Hobbie, RN

Men's Health Specialist

Springfield + Joplin

Elizabeth is a registered nurse with over 14 years of experience and a diverse range of clinical expertise. Along with a B.S.N., she also has a bachelor's degree in Health Science, which has equipped her to excel in the health and wellness industry. During her tenure as a nurse in the US Navy, Elizabeth recognized the significance of men's health, and since then, she has been passionate about helping men live their best lives. As our men's health specialist, Elizabeth is dedicated to providing male clients with the tools and resources necessary to maintain a healthy lifestyle and achieve optimal performance.

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Sabina, RN

Aesthetic Nurse Injector

Springfield

I began my nursing career in intensive care, with recent experience in integrative medicine and some previous background in neurotoxin injections. Naturally, I am passionate about making people look and feel their best. I love learning about the newest advances and techniques in aesthetics and am excited to continue my journey here with 417 Refine. My goal is to help you enhance your natural beauty!

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Lindsey, LE

Medical Aesthetician

Springfield

I am a dedicated medical aesthetician with a passion for helping clients achieve skin they feel confident in. Having personally struggled with acne for most of my life, I know that skincare is never one-size-fits-all, and specialize in treatments to meet each individual’s unique needs. With expertise in dermaplaning, waxing, and rejuvenating facials, I am committed to both effective skincare AND creating a soothing, restorative experience for every client.  

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MacKenzie, LE

Medical Aesthetician

Joplin

Passionate about skincare and overall wellness, I am thrilled to be a part of the team at 417 Refine. Offering a wide range of aesthetic services, I am committed to providing personalized and effective treatments on your journey to healthy and radiant skin. I am also excited to offer additional waxing, lash, and brow services. 

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Isabel, RN

Aesthetic Nurse Injector

Joplin

I began my career in medical aesthetics doing laser treatments, and quickly fell in love! Advancing my career in the field by obtaining my RN, and have worked in Medical-Surgical field for several years. I am excited to get back to my roots in Medical Aesthetics. I am passionate about helping you feel and look like your best self. 

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Jillian, RN

Aesthetic Nurse Injector

Joplin

With 12 years of nursing experience in mental health and correctional nursing, I developed a deep understanding of patient care, empathy, and the importance of mental well-being. 

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As a Nurse Injector at 417 Refine Joplin, I specialize in enhancing natural beauty through personalized treatments. I love providing tox treatments and customizing lip enhancements to complement each client’s unique features for beautifully natural results.

 

I thrive in the hands-on artistry of aesthetics, and my goal is to create an empowering experience that enhances not just appearance, but confidence as well. I can't wait to be part of your aesthetic journey!

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Cassi

Springfield Manager

With more than a decade of experience working in medical aesthetics and understanding the desire to age gracefully, I enjoy being able to relate to clients making them feel at ease with each visit. I am energetic, outgoing and committed to overseeing daily operations to provide all clients with an elevated experience!

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Allyson

Aesthetic Assistant + Receptionist

Springfield

Passionate about healthcare and helping others, I'm thrilled to be part of such a great team as an Aesthetic Assistant at 417 Refine! With seven years of experience in the healthcare field, I can't wait to assist our clients on their path to self-improvement. I look forward to becoming a familiar face for you!

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Daytona

Joplin Manager

I have over 5 years of experience in healthcare management, with a growing passion for aesthetics and helping people feel confident in their skin. I’m excited to continue learning and expanding my knowledge at 417 Refine, and to contribute to customer satisfaction and oversee the smooth delivery of services, ensuring each client leaves feeling more confident and cared for. 

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Maddie, RN

Randi, RN

Erika, RN

Rebecca, EMT-P

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in-home mobile services

SPRINGFIELD

417 Refine Logo

2918 East Battlefield Rd

Springfield, MO 65804

(417) 221-6419

+ Offering Mobile Concierge!

JOPLIN

516 S Virginia Ave

Joplin, MO 64801

(417) 414-0148

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© 2025 By 417 Refine

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