NPI 1003428707

Derek Jason Sisk, APRN

Practitioner Nurse Practitioner Sarasota, FL

Practice location

Address: 3554 65th Avenue Cir E, Sarasota, FL 34243-4116
Phone: (941) 250-4279

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 11008173 (FL)

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Registry record

NPI: 1003428707
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2020
Record last updated: 24 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.