Cissne, Gloria Jean

Cissne, Gloria Jean is an individual health care provider with primary practice located at 2106 Harrisburg Pike Suite 1, Lancaster PA 17601-2644. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cissne, Gloria Jean can be contacted via phone (717) 291-5931.

Contact Information

Primary practice address
2106 Harrisburg Pike Suite 1 Lancaster PA 17601-2644
Phone: (717) 291-5931
Fax: (717) 291-5818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP008602 Pennsylvania

Profile Details

NPI number 1053397091
LBN Legal business name Cissne, Gloria Jean
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Mar 7th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1053397091 NPPES
Pennsylvania MEDICAID 102782937

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