Individual
LAUREN ASHLEY BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-BC
Contact information
Practice address
1012 N MAIN ST, SIKESTON, MO 63801-5044
(573) 481-5017
Mailing address
1012 N MAIN ST, SIKESTON, MO 63801-5097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
MO
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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