Individual
BEVERLY BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
403 GETWELL DR, STE B, SENATOBIA, MS 38668-2231
(662) 301-1128
(662) 301-4430
Mailing address
106 E GILMORE ST, SENATOBIA, MS 38668-2701
(662) 519-6494
(662) 301-4430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R818032
MS
Other
Enumeration date
06/15/2005
Last updated
08/19/2010
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