Individual
KERRY MICHAEL NISSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5665 MAIN ST, EAST PETERSBURG, PA 17520-1513
(717) 569-7011
Mailing address
5665 MAIN ST, EAST PETERSBURG, PA 17520-1513
(717) 569-7011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013914
PA
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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