Provider Demographics
NPI:1053660530
Name:BRISCOE-BRIMMAGE, JENIFER RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:JENIFER
Middle Name:RAE
Last Name:BRISCOE-BRIMMAGE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4414 LAKE BOONE TRL
Mailing Address - Street 2:SUITE 405
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-7520
Mailing Address - Country:US
Mailing Address - Phone:919-876-8225
Mailing Address - Fax:919-876-3371
Practice Address - Street 1:4414 LAKE BOONE TRL
Practice Address - Street 2:SUITE 405
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-7513
Practice Address - Country:US
Practice Address - Phone:919-876-8225
Practice Address - Fax:919-876-3371
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2014-06-13
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Provider Licenses
StateLicense IDTaxonomies
NC2013-00998207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology