| Sakura Jessica Sip, | |
|
6095 Gender Rd, Canal Winchester, OH 43110-2014 | |
| (614) 417-5196 | |
| (614) 417-5197 |
| Full Name | Sakura Jessica Sip |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 6095 Gender Rd, Canal Winchester, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356057715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0032912 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Little Clinic Of Ohio Llc | 7719087584 | 195 |
| Entity Name | The Little Clinic Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Sakura Jessica Sip, Po Box 932958, Cleveland, OH 44193-0028 Ph: () - | Sakura Jessica Sip, 6095 Gender Rd, Canal Winchester, OH 43110-2014 Ph: (614) 417-5196 |
Ms. Anta Fall Sow, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6631 Bricegrove Blvd, Canal Winchester, OH 43110 Phone: 614-307-0368 | |
Mrs. Marina Eller, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3620 Gender Rd, Canal Winchester, OH 43110 Phone: 148-293-0156 | |
Mrs. Traci Mari Conroy, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7884 Mountain Ash Ln, Canal Winchester, OH 43110 Phone: 614-439-4095 | |
Kari Rene Davidson, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7901 Diley Rd Ste 260, Canal Winchester, OH 43110 Phone: 614-920-1000 | |
Marisa Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3620 Gender Rd, Canal Winchester, OH 43110 Phone: 614-829-3015 | |
Lauren Elizabeth Parsley, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6095 Gender Rd, Canal Winchester, OH 43110 Phone: 614-417-5196 |