Individual
HEATHER HISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
16761 SAINT CLAIR AVE STE 2, EAST LIVERPOOL, OH 43920-9400
(330) 385-9670
(330) 385-9672
Mailing address
PO BOX 645409, PITTSBURGH, PA 15264-5252
(330) 386-6442
(330) 386-3660
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
104411348
OH
Other
Enumeration date
02/20/2018
Last updated
10/08/2021
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