Individual
JESSICA BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3508 RINGGOLD RD, EAST RIDGE, TN 37412-1208
(423) 304-9180
Mailing address
2430 ASHMORE AVE, CHATTANOOGA, TN 37415-6398
(601) 668-1727
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43542
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43542
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
08/19/2020
Last updated
08/19/2020
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