JACKIE EUGENE BRISTER

MCCOMB, MS
NPI1568473270
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R862702)
Enumeration Date2006-08-10
Last Update Date2008-03-12
Business Address
-- JACKIE EUGENE BRISTER F.N.P.
1017 DELAWARE AVE
MCCOMB, MS 39648-3827
Phone number: 601-250-1122
Mailing Address
-- JACKIE EUGENE BRISTER F.N.P.
PO BOX 1909
MCCOMB, MS 39649-1909
Phone number: 601-250-1122
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