Jessica Rose Brister, NP, RN, APN
Nurse Practitioner, Family in Charleston, SC. Individual provider (NPI-1).
NPI number1316626005
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1316626005
- Entity type
- Individual (NPI-1)
- Name
- Jessica Rose Brister
- Credential
- NP, RN, APN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2023
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 27913 | SC | Yes |
| 363LF0000X | Nurse Practitioner, Family | 350634 | NY |
Other names
- Jessica Rose Stambelu (Former Name)
Practice location
86 Jonathan Lucas St Hollings Cancer CenterCharleston, SC 29425-0001
Phone 843-792-9300
Mailing address
3459 Claremont StMount Pleasant, SC 29466-9341
Phone 845-238-4747
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