Jaclyn Sisk

NPI #1326664764 in Marion, Illinois

Provider Information

NPI Number
1326664764
Entity Type
Individual
Name
Jaclyn Sisk
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 22, 2020
Last Updated
Jun 22, 2020

Practice Location

Address
11531 SUNDERLAND RD
City
Marion
ZIP Code
62959-8274
Phone
(618) 964-5139

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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