Individual
JEAN SYLVESTRE AYISSI ESSONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3600 FORBES AVE STE 304, PITTSBURGH, PA 15213-3412
(417) 631-2562
(412) 864-1931
Mailing address
3600 FORBES AVE STE 304, PITTSBURGH, PA 15213-3412
(417) 631-2562
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP019711
PA
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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