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Individual

TARENA JO SISK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNM

Contact information

Practice address
7001 ROGERS AVE STE 403, FORT SMITH, AR 72903-4034
(479) 785-2229
(479) 478-6745
Mailing address
7001 ROGERS AVE STE 403, FORT SMITH, AR 72903-4034
(479) 785-2229
(479) 478-6745

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
1074958
TX
367A00000X
Advanced Practice Midwife
Primary
233688
AR
367A00000X
Advanced Practice Midwife
2500001
KS

Other

Enumeration date
01/05/2012
Last updated
09/30/2025
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