Individual
TONYA BRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
521 MARION AVE, MCCOMB, MS 39648-2009
(601) 600-2053
Mailing address
139 THORNHILL RD, JAYESS, MS 39641-8028
(601) 303-6144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902478
MS
Other
Enumeration date
12/31/2017
Last updated
03/22/2018
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