Individual
JULIE ANN SISEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7255 MEESHOW DR STE A, SPRINGDALE, AR 72762-5269
(479) 306-4480
(479) 306-4488
Mailing address
7255 MEESHOW DR STE A, SPRINGDALE, AR 72762-5269
(479) 306-4480
(479) 306-4488
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L058324
AR
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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