JA'QUAY DANIELLE BRISTER

MEMPHIS, TN
NPI1417420365
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  26984)
Enumeration Date2019-01-03
Last Update Date2020-06-11
Business Address
JA'QUAY DANIELLE BRISTER
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990
Mailing Address
JA'QUAY DANIELLE BRISTER
1030 JEFFERSON AVE
MEMPHIS, TN 38104-2127
Phone number: 901-523-8990