Individual
DONNA SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 JEANS DR, SALEM, IN 47167-9200
(812) 883-9396
(812) 838-9439
Mailing address
201 JEANS DR, SALEM, IN 47167-9200
(812) 883-9396
(812) 883-9439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28138320A
IN
Other
Enumeration date
04/22/2015
Last updated
10/31/2024
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