Individual
KATHLEEN SANDRA SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMH-NP
Contact information
Practice address
209 MILLSTONE DR, SUITE A, HILLSBOROUGH, NC 27278-8776
(919) 245-5400
Mailing address
PO BOX 612, MEBANE, NC 27302-0612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
151808
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
151808
NC
Other
Enumeration date
08/28/2012
Last updated
03/07/2014
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