Individual
MRS. LEIGH H BRISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2500 N. STATE ST., JACKSON, MS 39206
(601) 984-5900
Mailing address
147 CARMICHAEL BLVD, MADISON, MS 39110-6368
(601) 209-8272
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R869571
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00975577
—
MS
Enumeration date
06/18/2006
Last updated
12/15/2010
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