Individual
MS. JO NELL BRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11923 COURSEY BLVD, BATON ROUGE, LA 70816-4406
(225) 296-5144
(225) 296-5159
Mailing address
11923 COURSEY BLVD, BATON ROUGE, LA 70816-4406
(225) 296-5144
(225) 296-5159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0958
LA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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