Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ja'Quay Danielle Brister

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1417420365

Ja'Quay Danielle Brister is a Psychiatric/Mental Health Nurse Practitioner in Memphis, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019

Practice location Address checks out

1030 Jefferson Ave
Memphis, TN 38104-2127
Phone: (901) 523-8990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26984 (TN)

Record details

NPI number1417420365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2019
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address2095 Exeter Rd Ste 80-384, Germantown, TN 38138-3963

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