Individual
PAMELA SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
220 N MAIN ST STE 500, GREENVILLE, SC 29601-2129
(864) 920-3665
(855) 611-1917
Mailing address
333 COMMERCE ST STE 700, NASHVILLE, TN 37201-1835
(615) 913-5086
(888) 494-2588
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
19599
SC
363LP2300X
Primary Care Nurse Practitioner
19599
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3434
—
SC
Enumeration date
07/09/2015
Last updated
03/17/2018
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