Brister, Jackie Eugene

Brister, Jackie Eugene is an individual health care provider with primary practice located at 1017 Delaware Ave , Mccomb MS 39648-3827. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Brister, Jackie Eugene can be contacted via phone (601) 250-1122.

Contact Information

Primary practice address
1017 Delaware Ave Mccomb MS 39648-3827
Phone: (601) 250-1122
Fax: (601) 250-0290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R862702 Mississippi

Profile Details

NPI number 1568473270
LBN Legal business name Brister, Jackie Eugene
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 12th, 2008 - about 16 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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