Individual
WENDY LEIGH SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6885 HARLAN AVE, SPRINGDALE, AR 72762-4195
(479) 306-4199
(478) 306-4199
Mailing address
6885 HARLAN AVE, SPRINGDALE, AR 72762-4195
(479) 306-4199
(478) 306-4199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01452 APN
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143903758
—
AR
Enumeration date
01/20/2006
Last updated
07/08/2007
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