JENNIFER SISCO (NPI# 1841660768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841660768 |
| Entity Type | Individual |
| Full Name | JENNIFER SISCO |
| Practice Address |
10025 W Markham St Little Rock AR 72205-1407 |
| Practice Telephone | 5016635473 |
| Practice Fax Number | 5018011812 |
| Mailing Telephone | 5016635473 |
| Mailing Fax Number | 5018011812 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A004547 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912159419 | Jennifer Nicole Sisco | Dietitian, Registered | 1266 Jackson Pond Cir, Cordova, TN 38018-7128 | 2008-10-15 |
| 1366869471 | Jennifer Loeb Sisco | Internal Medicine | 1500 San Pablo St, Los Angeles, CA 90033 | 2014-03-26 |
| Street Address |
10025 W MARKHAM ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861508327 | Wendell C Thompson | Dentist | 10025 W Markham St, Suite 250, Little Rock, AR 72205-1407 | 2006-08-21 |
| 1053824920 | Laura Castillo | Case Manager/Care Coordinator | 10025 W Markham St, Suite 210, Little Rock, AR 72205 | 2017-11-14 |
| 1326598798 | Elizabeth Folwer | Social Worker | 10025 W Markham St, Suite 210, Little Rock, AR 72205-1407 | 2016-10-10 |
| 1497104467 | Laqueena Johnson | Case Manager/Care Coordinator | 10025 W Markham St, Suite 210, Little Rock, AR 72205-1407 | 2016-06-09 |
| 1326497389 | Brittney Harrison | Case Manager/Care Coordinator | 10025 W Markham St, Suite 210, Little Rock, AR 72205-1407 | 2016-06-09 |
| 1831562669 | Ashley N Cox | Case Manager/Care Coordinator | 10025 W Markham St, Ste 210, Little Rock, AR 72205-1407 | 2015-11-02 |
| 1770964744 | Kristen Davis | Case Manager/Care Coordinator | 10025 W Markham St, Suite 210, Little Rock, AR 72205-1407 | 2015-06-15 |
| 1396139275 | Laura Brinker | Counselor | 10025 W Markham St, Suite 210, Little Rock, AR 72205-1407 | 2015-03-27 |
| 1922414903 | David Rose | Case Manager/Care Coordinator | 10025 W Markham St, Suite 210, Little Rock, AR 72205-1407 | 2014-07-10 |
| 1497182711 | Sharon J Porter | Counselor | 10025 W Markham St, Suite 210, Little Rock, AR 72205-1407 | 2013-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647918 | Coco Psychiatric Services Pllc | Nurse Practitioner | 115 Bella Rosa Pl, Little Rock, AR 72223-4771 | 2020-10-23 |
| 1538767462 | Safe Harbor Behavioral Health Pllc | Nurse Practitioner | 11401 N Rodney Parham Rd Ste 4, Little Rock, AR 72212-4168 | 2020-10-13 |
| 1962040568 | Erica N Taylor | Nurse Practitioner | 11800 Financial Center Parkway, Ste 290, Little Rock, AR 72211 | 2019-12-13 |
| 1912473125 | Christopher Lucas Stone | Nurse Practitioner | 133 Booker St, Little Rock, AR 72205-5813 | 2018-10-16 |
| 1861843831 | Chloe Ward | Nurse Practitioner | 10801 Executive Center Dr Ste 101, Little Rock, AR 72211-4301 | 2016-06-30 |
| 1407226327 | Connie Brown | Nurse Practitioner | 2504 Stephanie Dr, Little Rock, AR 72206-5418 | 2015-10-05 |
| 1437121373 | Ashley Ellen Green | Nurse Practitioner | 1719 Merrill Dr, Little Rock, AR 72212-4009 | 2006-02-04 |
| 1831717115 | Martha Marie Shaw | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2020-07-13 |
| 1790311314 | Angela Michaela Holyfield | Nurse Practitioner | 6601 W 12th St, Little Rock, AR 72204-1513 | 2020-03-15 |
| 1780215640 | Amanda Cabaniss Rogers | Nurse Practitioner | 6 Emerald Ct, Little Rock, AR 72212-2107 | 2020-01-30 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on JENNIFER SISCO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.