Individual
MOLLY MICHELLE CISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1373 E STATE ROAD 62, MADISON, IN 47250-7328
(812) 820-1433
Mailing address
15007 SILVER PLAINS TRCE, MEMPHIS, IN 47143-9276
(812) 820-1433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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