MISSMAMA SISSOHORE (LPN) – Licensed Practical Nurse, NPI 1164621603
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MISSMAMA SISSOHORE (LPN)
8634 GREYLAG ST
BLACKLICK, OH 430047003
Phone: (614) 755-4972
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43004)
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