Jennifer B. Sissom PA

  • NPI 1063488708
According to our database, the NPI number for Jennifer B. Sissom PA is 1063488708 and activated since 18 years ago. Jennifer B. Sissom PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 2383 Pate St N, Snellville, GA 30078. You can also contact Jennifer B. Sissom PA via telephone number is (770) 972-4845. Provider NPI information was last updated on 03/17/2018.

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Overview of Jennifer B. Sissom PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 02/23/2006
  • Last updated: 03/17/2018

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 004267
  • License State: GA

Provider Mailing Address

  • Address: 1609 Mapmaker Dr
    Dacula, GA 30019
  • Phone: 404-788-4321
  • Fax:

Provider Practice Location

  • Address: 2383 Pate St N
    Snellville, GA 30078
  • Phone: 770-972-4845
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 004267
  • License State: GA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 824570839A
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: GA
  • Issuer:

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 Jennifer B. Sissom PA?
  • A: The npi number for Jennifer B. Sissom PA is 1063488708.
  • Q: What are Jennifer B. Sissom PA's specialties?
  • A: Jennifer B. Sissom PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jennifer B. Sissom PA?
  • A: The medical license number for Jennifer B. Sissom PA is 004267 and issued in GA in USA.
  • Q: Where is Jennifer B. Sissom PA practice location?
  • A: Jennifer B. Sissom PA is practicing at 2383 Pate St N, Snellville, GA 30078.
  • Q: How to contact Jennifer B. Sissom PA?
  • A: You can contact Jennifer B. Sissom PA via 770-972-4845.