Individual
MRS. SHIRLEY JEAN BRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
44 VERSAILLES BLVD, ALEXANDRIA, LA 71303-3960
(318) 445-5111
(318) 442-2261
Mailing address
44 VERSAILLES BLVD, ALEXANDRIA, LA 71303-3960
(318) 445-5111
(318) 442-2261
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN075082
LA
Other
Enumeration date
02/15/2008
Last updated
10/31/2011
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