Individual
MRS. STACY JANE SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5608 CLIFF CAVE CROSSING DR, SAINT LOUIS, MO 63129-4368
(314) 846-1161
(314) 846-1161
Mailing address
5608 CLIFF CAVE CROSSING DR, SAINT LOUIS, MO 63129-4368
(314) 846-1161
(314) 846-1161
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
143216
MO
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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