Individual
JENNIFER MARIE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APA-C
Contact information
Practice address
590 MEDICAL CENTER RD., FORT HOOD, TX 76544
(123) 456-7890
Mailing address
590 MEDICAL CENTER RD., FORT HOOD, TX 76544
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
05/27/2026
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