Individual
SUSAN BRINSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2832 SMITH ROBINSON ST, JACKSON, MS 39213-6645
(601) 672-2947
Mailing address
PO BOX 3133, JACKSON, MS 39207-3133
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R862538
MS
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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