Individual
KAYLEY SISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
394 UNIVERSITY AVE, NEWARK, NJ 07102-1246
(973) 877-6111
Mailing address
400 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2646
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NR23094200
NJ
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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