| Doctor Name: | BEVERLY BRISCOE |
| NPI Number: | 1184629206 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R818032 |
| Business Practice Address: | 403 Getwell Dr Ste B Senatobia, MS - 386682231 |
| Business Phone Number: | 6623011128 |
| Business Fax Number: | 6623014430 |
| Mailing Address: | 106 E Gilmore St, SENATOBIA |
| State: | MS |
| Postal Code: | 386682701 |
| Phone Number: | 6625196494 |
| Fax Number: | 6623014430 |
| NPI Enumeration Date: | 06/15/2005 |
| NPI Last Update Date: | 08/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R818032 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |