Jacquis Sistrunk

  • NPI 1447669098
According to our database, the NPI number for Jacquis Sistrunk is 1447669098 and activated since 9 years ago. Jacquis Sistrunk is an individual provider who specializes in Community Based Residential Treatment Facility, Mental Illness, and the primary practice location is 1100 W 6th Ave, Gary, IN 46402. You can also contact Jacquis Sistrunk via telephone number is (219) 885-4264. Provider NPI information was last updated on 08/07/2014.

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Overview of Jacquis Sistrunk

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/07/2014
  • Last updated: 08/07/2014

Primary Scrop of Practice

  • Taxonomy Code: 320800000X
  • Specialty: Community Based Residential Treatment Facility, Mental Illness
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 1100 W 6th Ave
    Gary, IN 46402
  • Phone: 219-885-4264
  • Fax:

Provider Practice Location

  • Address: 1100 W 6th Ave
    Gary, IN 46402
  • Phone: 219-885-4264
  • Fax:

Scope of Practice

  • Taxonomy Code: 320800000X
  • Specialty: Community Based Residential Treatment Facility, Mental Illness
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jacquis Sistrunk?
  • A: The npi number for Jacquis Sistrunk is 1447669098.
  • Q: What are Jacquis Sistrunk's specialties?
  • A: Jacquis Sistrunk's specialties are Community Based Residential Treatment Facility, Mental Illness and different specialities.
  • Q: What is the medical license for Jacquis Sistrunk?
  • A: The medical license number for Jacquis Sistrunk is unknow and issued in unknow in USA.
  • Q: Where is Jacquis Sistrunk practice location?
  • A: Jacquis Sistrunk is practicing at 1100 W 6th Ave, Gary, IN 46402.
  • Q: How to contact Jacquis Sistrunk?
  • A: You can contact Jacquis Sistrunk via 219-885-4264.