| Chasity Michelle Sisson, FNP | |
|
130 N High St, Shubuta, MS 39360-8870 | |
| (601) 687-1391 | |
| Not Available |
| Full Name | Chasity Michelle Sisson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 130 N High St, Shubuta, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992983829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R871983 (Mississippi) | Primary |
| Entity Name | Outreach Health Services,inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548359565 PECOS PAC ID: 1951386911 Enrollment ID: O20040623000333 |
| Mailing Address | Practice Location Address |
|---|---|
| Chasity Michelle Sisson, FNP 130 N High St, Shubuta, MS 39360-8870 Ph: (601) 687-1391 | Chasity Michelle Sisson, FNP 130 N High St, Shubuta, MS 39360-8870 Ph: (601) 687-1391 |
Ms. Jerrica Nicole Frazier, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-5859 | |
Mrs. Virgie C Wade, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 North High St, Shubuta, MS 39360 Phone: 601-687-1391 Fax: 601-687-0051 | |
Shanika Boyd, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-1391 Fax: 601-687-0051 | |
Patricia Simpson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 N High St, Shubuta, MS 39360 Phone: 601-687-1391 | |
Karen Parker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130n High St, Shubuta, MS 39360 Phone: 601-687-1391 Fax: 601-687-0051 |