Individual
PATRICIA MCKISSIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
3604 SHANNON RD STE 200, DURHAM, NC 27707-6343
(919) 403-2122
Mailing address
3604 SHANNON RD STE 200, DURHAM, NC 27707-6343
(919) 403-2122
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5008146
NC
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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