Bissoon, Stacy Marie

Bissoon, Stacy Marie is an individual health care provider with primary practice located at 414 W 18Th St , Sioux Falls SD 57104-4810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bissoon, Stacy Marie can be contacted via phone (605) 271-2200.

Contact Information

Primary practice address
414 W 18Th St Sioux Falls SD 57104-4810
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X CP000927 South Dakota

Profile Details

NPI number 1760838098
LBN Legal business name Bissoon, Stacy Marie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2016
Last updated May 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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