Individual
CHASITY MICHELLE SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
130 N HIGH ST, SHUBUTA, MS 39360-8870
(601) 687-1391
Mailing address
130 N HIGH ST, SHUBUTA, MS 39360-8870
(601) 687-1391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871983
MS
Other
Enumeration date
02/01/2008
Last updated
05/15/2015
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