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Individual

JAZZMEN BRISCOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT #2540

Contact information

Practice address
311 CLINTON BLVD STE C, CLINTON, MS 39056-5251
(601) 526-1444
Mailing address
PO BOX 82, CLINTON, MS 39060-0082
(601) 526-1444

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
173C00000X
Reflexologist
MS
225700000X
Massage Therapist
Primary
2540
MS
246Y00000X
Health Information Specialist/Technologist
MS
374U00000X
Home Health Aide
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LMT2540
LICENSED MASSAGE THERAPIST
MS
01
R-POMS2540
POST OPERATIVE SURGICAL CARE PROVIDER
MS
Enumeration date
11/20/2020
Last updated
02/27/2026
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