Individual
SHEILA MICHELLE SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
478 WHIRLAWAY DRIVE STE 100, DANVILLE, KY 40422-9037
(859) 236-4333
(859) 236-2284
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3005229
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11743206
CAQH
—
01
—
2007004387
BOARD CERTIFICATION
KY
01
—
3005229
KENTUCKY BOARD OF NURSING APRN LICENSE
KY
05
—
7100024500
—
KY
Enumeration date
07/18/2007
Last updated
07/13/2023
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