Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sakura Jessica Sip

Individual provider Family Nurse Practitioner · NPI 1356057715

Sakura Jessica Sip is a Nurse Practitioner in Canal Winchester, Ohio. Qualified in 2022, 4 years ago. Practices with The Little Clinic of Ohio LLC, a 219-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2023

Practice location Address checks out

6095 Gender Rd
Canal Winchester, OH 43110-2014
Phone: (614) 417-5196
Fax: (614) 417-5197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0032912 (OH)

Record details

NPI number1356057715
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 27, 2023
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Little Clinic Of Ohio Llc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canal Winchester