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

Jackie Eugene Brister, FNP

Individual provider Family Nurse Practitioner · NPI 1568473270

Jackie Eugene Brister, FNP is a Nurse Practitioner in McComb, Mississippi. Qualified in 2006, 20 years ago. Practices with Statcare PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
20
Licensed in
MS
In the registry since
2006
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1017 Delaware Ave
McComb, MS 39648-3827
Phone: (601) 250-1122
Fax: (601) 250-0290
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R862702 (MS)

Record details

NPI number1568473270
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESMarch 12, 2008
Mailing addressPo Box 1909, McComb, MS 39649-1909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Statcare Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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