Individual provider · NPI-1

Heather Hissom, WHNP

Nurse Practitioner, Women's Health · East Liverpool, OH

NPI number1912407487
StatusActive
Last updated in NPPESOct 8, 2021

Details

NPI
1912407487
Entity type
Individual (NPI-1)
Name
Heather Hissom
Credential
WHNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2018
Certification date
Oct 8, 2021
Last updated
Oct 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LW0102X Nurse Practitioner, Women's Health104411348OHYes

Practice location

16761 Saint Clair Ave Ste 2
East Liverpool, OH 43920-9400

Phone 330-385-9670 · Fax 330-385-9672

Mailing address

Po Box 645409
Pittsburgh, PA 15264-5252

Phone 330-386-6442 · Fax 330-386-3660

Other practice locations

205 W 6th St
East Liverpool, OH 43920-2818

Phone 330-932-3271 · Fax 330-386-6191

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