Jessica Ann Sisu

NPI #1053809277 in Monroe, Washington

Provider Information

NPI Number: 1053809277
Entity Type: Individual
Name: Jessica Ann Sisu
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 24, 2018
Last Updated: Jul 22, 2021

Practice Location

Address: 19200 N KELSEY ST
City: Monroe
State: Washington
ZIP Code: 98272-1431
Phone: (360) 794-9101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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