Individual provider · Type 1 NPI

Jaclyn Sisk

Licensed Practical Nurse · Marion, IL

NPI number 1326664764 Active

Practice location

11531 Sunderland Rd
Marion, IL 62959-8274

Call (618) 964-5139 Map

Mailing address

9995 Ava Rd
Ava, IL 62907-2912

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	043.127433 (IL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1326664764

Jaclyn Sisk's National Provider Identifier is 1326664764, issued on Jun 22, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Marion, IL. The record was last updated on Jun 22, 2020.