JONATHAN-MICHAEL AARON SISSON


Address: 7421 104th St, Lubbock, TX 79424-6079
Phone: 8062415538

JONATHAN-MICHAEL AARON SISSON (NPI# 1609475219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609475219
Entity Type Individual
Full Name JONATHAN-MICHAEL AARON SISSON
Credential NP-C
Practice Address 7421 104th St
Lubbock
TX 79424-6079
Practice Telephone 8062415538
Enumeration Date 2020-10-23
Last Update Date 2020-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F07200365 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7421 104TH ST
City LUBBOCK
State TX
Zip Code 79424-6079

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1134787377 April Denise Gardea Speech-Language Pathologist 6502 Slide Road Suite 204, Lubbock, TX 79424 2019-06-03
1215590658 April Dawn Fortner Counselor 7617 86th St., Lubbock, TX 79424 2019-04-22
1427514561 Thornhill Healthcare II, Inc. Pharmacy 6823 82nd St, Suite 600, Lubbock, TX 79424 2019-02-13
1174001358 Emily Cowell Technician, Other 6102 82nd St Ste 10, Lubbock, TX 79424 2018-07-31
1043718786 Edward Murphy Pharmacist 8702 Toledo Ave, Lubbock, TX 79424 2018-01-29
1013434364 Yung Ling Tsai Specialist/Technologist 4707 116th Street, Lubbock, TX 79424 2017-08-28
1285187237 Wter Quaker, Lp Clinic/Center 10205 Quaker Ave, Lubbock, TX 79424 2016-07-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053911859 Amber Marie Bowman Nurse Practitioner 5106 59th St, Lubbock, TX 79414-4312 2020-10-29
1174134753 Rebecca Stephanie Castillo Nurse Practitioner 5528 109th St, Lubbock, TX 79424-7680 2020-08-16
1508487398 Mark Angelo Padolina Nurse Practitioner 1101 Oshkosh Ave, Lubbock, TX 79416-3810 2020-05-03
1841826724 Leticia Luna Flores Cooper Nurse Practitioner 2511 60th St, Lubbock, TX 79413-5641 2020-03-23
1952931693 Camella Dawn Ladd Nurse Practitioner 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 2020-01-22
1962042598 Wendy Geraldine Avalos Nurse Practitioner 9304 Primrose Ave, Lubbock, TX 79424-6799 2020-01-11
1619516325 Jessica Krueger Nurse Practitioner 5502 103rd St, Lubbock, TX 79424-6417 2019-12-27
1417596438 Alicia Michelle Powell Nurse Practitioner 6102 82nd St Ste 14, Lubbock, TX 79424-0840 2019-12-23
1376181537 Ashley Nicole White Nurse Practitioner 5614 100th St, Lubbock, TX 79424-6268 2019-12-18
1205478021 Stacey Rachelle Kelly Nurse Practitioner 3506 21st St 507, Lubbock, TX 79410-1105 2019-10-14
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Competitor

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City LUBBOCK
Zip Code 79424

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Dataset Information

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.

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