Individual
JESSICA ROSE BRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, RN, APN
Contact information
Practice address
86 JONATHAN LUCAS ST HOLLINGS CANCER CENTER, CHARLESTON, SC 29425-0001
(843) 792-9300
Mailing address
3459 CLAREMONT ST, MOUNT PLEASANT, SC 29466-9341
(845) 238-4747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27913
SC
363LF0000X
Family Nurse Practitioner
350634
NY
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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