Individual
SHARON E CISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
411 E CHESTNUT ST # 5, LOUISVILLE, KY 40202-1713
(502) 588-0390
(502) 588-0396
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
3005320
KY
363LP0222X
Critical Care Pediatric Nurse Practitioner
5320P
KY
Other
Enumeration date
02/11/2008
Last updated
05/01/2025
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