Briscoe, Brad A

Briscoe, Brad A is an individual health care provider with primary practice located at 3122 New Berlin Rd , Jacksonville FL 32226-1828. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Briscoe, Brad A can be contacted via phone (904) 633-0340.

Contact Information

Primary practice address
3122 New Berlin Rd Jacksonville FL 32226-1828
Phone: (904) 633-0340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1067675 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 2590432 Florida

Profile Details

NPI number 1689645020
LBN Legal business name Briscoe, Brad A
Credentials APRN, ACNP-BC, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated May 21st, 2015 - about 10 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689645020 NPPES
Florida MEDICAID 0036958-00

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