Basic Information
| Provider Information | |||||||||
| NPI: | 1649369885 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BRISCOE | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 211 LONG RAPIDS ROAD | ||||||||
| Address2: | ALPENA MEDICAL ARTS, PC | ||||||||
| City: | ALPENA | ||||||||
| State: | MI | ||||||||
| PostalCode: | 49707 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9892542142 | ||||||||
| FaxNumber: | 9893548600 | ||||||||
| Practice Location | |||||||||
| Address1: | 211 LONG RAPIDS RD | ||||||||
| Address2: | |||||||||
| City: | ALPENA | ||||||||
| State: | MI | ||||||||
| PostalCode: | 497071315 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9892542142 | ||||||||
| FaxNumber: | 9893548600 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 12/09/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 2002-01436 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.