Jackie Eugene Brister in Mccomb - Family
Jackie Eugene Brister - NPI 1568473270
Jackie Eugene Brister is a Family in Mccomb, Mississippi. Jackie Eugene Brister practices all healthcare services and medical treatments related to Family. The NPI Number for Jackie Eugene Brister is 1568473270. The last update date is 2008-03-12.
Jackie Eugene Brister's current location address is Po Box 1909, Mccomb, Mississippi. You can contact this provider via phone number 6012501122 and fax number 6012500290. The mailing address for Jackie Eugene Brister is Po Box 1909, Mccomb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie Eugene Brister |
|---|---|
| Address | Po Box 1909, Mccomb, Mississippi |
| Phone Number | 6012501122 |
| Fax Number | 6012500290 |
| Sole Proprietor | N |
| Credentials | F.N.P. |
NPI Number Detail
| NPI Number | 1568473270 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2008-03-12 |
Provider Mailing Address Detail
| Address | Po Box 1909 |
|---|---|
| City | Mccomb |
| State | Mississippi (MS) |
| Post Code | 396491909 |
| Phone Number | 6012501122 |
| Fax Number | 6012500290 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R862702 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jackie Eugene Brister by the Centers for Medicare & Medicaid Services?
The Jackie Eugene Brister has been issued the NPI (National Provider Identifier) 1568473270, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jackie Eugene Brister is located?
The Jackie Eugene Brister is situated at the following address: Po Box 1909, Mccomb, MS, 396491909.
What is Jackie Eugene Brister's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jackie Eugene Brister is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568473270 to Jackie Eugene Brister?
The Centers for Medicare & Medicaid Services originally issued the 1568473270 to Jackie Eugene Brister on 2006-08-10.
As of what date were the details related to Jackie Eugene Brister most recently updated or revised?
The information pertaining to Jackie Eugene Brister, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-12.