Individual provider · Type 1 NPI

Jennifer L. Sisell

Gerontology Nurse Practitioner · Golden Valley, MN

NPI number 1861046898 Active

Practice location

1415 Lilac Dr N Ste 190
Golden Valley, MN 55422-4544

Fax (763) 231-9602

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X6715 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1861046898

Jennifer L. Sisell's National Provider Identifier is 1861046898, issued on Jul 29, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Golden Valley, MN. The record was last updated on Nov 11, 2019.