Individual
MRS. JILL AMORET SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,NNP
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-4859
Mailing address
7820 STATE ROUTE 4, WORDEN, IL 62097-2042
(618) 633-2214
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
093032
MO
Other
Enumeration date
11/23/2006
Last updated
07/08/2007
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