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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER B. SISSOM, PA

Active

JENNIFER B. SISSOM, PA is a Physician Assistant healthcare provider located in SNELLVILLE, Georgia. NPI 1063488708 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · SNELLVILLE, GA

Registration Details

NPI Number
1063488708
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2006 (20.433701795518 yrs)
Last Updated
Mar 17, 2018
License
004267 (GA)

Practice Information

Address
2383 PATE ST N
SNELLVILLE, GA, 300783250
Browse GA providers · Browse ZIP 30078
Phone
7709724845
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in SNELLVILLE, GA

Name Credential NPI
ANGELA JONES P.A. 1790777217
LUCY-BERTHA WALLANG PA-C 1538111539
DAVID NEIL BRONAUGH P.A.C. 1447358254
AMBRE JAMARRA FOUGEROUSSE PA-C 1700022613
COURTNEY R DAVIS PA-C 1952535163
LINDSEY MICHELLE BROWN PA-C 1497091326
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.