Awa Cisse
Individual provider Active NPI Family Nurse Practitioner · Versailles, KY
NPI 1245174283 · NPPES record last updated Apr 20, 2026
Key facts
- NPI
- 1245174283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28245308A (IN)
- Practice address
- 2050 Lexington Rd
Versailles, KY 40383-1738 - Phone
- (859) 251-4700
- NPI assigned
- Apr 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28245308A | IN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28245308A | IN | Yes |
Addresses
Primary practice location
2050 Lexington Rd
Versailles, KY 40383-1738
Mailing address
3779 Kensington Dr
Danville, IN 46122-6000
Other providers in Versailles, KY
- Junou Charles
- Lynn M Chen
- Cherawen Group
- William E Childers
- Childrens Vision and Learning Center, PSC
- Tonya Coburn
- Commonwealth Dental Group
- Comprehensive Psych Consultation, LLC
- Beth Underwood Coon
- Travis E Corder
All providers in Versailles, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.