Jackie Eugene Brister, F.N.P.
NPI #1568473270 in Mccomb, Mississippi
Provider Information
- NPI Number
- 1568473270
- Entity Type
- Individual
- Name
- Jackie Eugene Brister, F.N.P.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- F.N.P.
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Mar 12, 2008
Practice Location
- Address
- 1017 DELAWARE AVE
- City
- Mccomb
- State
- Mississippi
- ZIP Code
- 39648-3827
- Phone
- (601) 250-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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