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Michael D Nissen, NP-C
Family Nurse Practitioner in Vernon, Florida
NPI 1417077827

Michael D Nissen is a Family Nurse Practitioner based in Vernon, FL and is specialized in Family. Michael D Nissen practices in Vernon, FL and has the professional credentials of NP-C. The NPI Number for Michael D Nissen is 1417077827 and holds a License No. 242756 (Florida).

The current practice location address for Michael D Nissen is 3399 Ferris Cir, Vernon, FL and can be reached out via phone at 706-594-6919.

Location: 3399 Ferris Cir, Vernon, FL, 32462-2217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417077827
Provider Name
Michael D Nissen
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
3399 Ferris Cir, Vernon, FL, 32462-2217
Phone Number
706-594-6919
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7004922 05 NC
institution
Provider Business Practice Location Address Details
Address
3399 Ferris Cir
City
Vernon
State
Florida
Zip
32462-2217
Phone Number
706-594-6919
Fax Number
person
Provider Business Mailing Address Details
Address
3399 Ferris Cir
City
Vernon
State
Florida
Zip
32462-2217
Phone Number
706-594-6919
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
242756 (North Carolina)
Definition
Definition to come...
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