Individual
REGINA J. SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
444 S MAIN ST, MADISONVILLE, KY 42431-2846
(270) 821-4444
(270) 821-9188
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011712
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100486310
—
KY
Enumeration date
10/10/2017
Last updated
10/24/2024
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