Individual
GLORIA JEAN CISSNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2106 HARRISBURG PIKE, SUITE 1, LANCASTER, PA 17601-2644
(717) 291-5931
(717) 291-5818
Mailing address
2106 HARRISBURG PIKE, SUITE 1, LANCASTER, PA 17601-2644
(717) 291-5931
(717) 291-5818
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP008602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102782937
—
PA
Enumeration date
12/21/2005
Last updated
03/07/2023
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