Provider Demographics
NPI:1649369885
Name:BRISCOE, JENNIFER L (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:L
Last Name:BRISCOE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:211 LONG RAPIDS ROAD
Mailing Address - Street 2:ALPENA MEDICAL ARTS, PC
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707
Mailing Address - Country:US
Mailing Address - Phone:989-254-2142
Mailing Address - Fax:989-354-8600
Practice Address - Street 1:211 LONG RAPIDS RD
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1315
Practice Address - Country:US
Practice Address - Phone:989-254-2142
Practice Address - Fax:989-354-8600
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-12-09
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Provider Licenses
StateLicense IDTaxonomies
NC2002-01436207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCH77844Medicare UPIN