Individual
CARISSA ZACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
335 S FRANKLIN ST, 335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 301-0924
(570) 505-6224
Mailing address
335 S FRANKLIN ST, 335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 762-9011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN706919
PA
363LF0000X
Family Nurse Practitioner
Primary
SP034284
PA
Other
Enumeration date
10/17/2025
Last updated
10/23/2025
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