Individual
ELISE BOWIE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 BEACH BLVD APT 4, PASCAGOULA, MS 39567-7595
(228) 282-3860
Mailing address
3601 BEACH BLVD APT 4, PASCAGOULA, MS 39567-7595
(228) 282-3860
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905790
MS
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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