Individual
NISSA HAUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1102 W WAUGH ST, DALTON, GA 30720-8769
(277) 277-2321
Mailing address
151 VAN HOUTEN AVE, EL CAJON, CA 92020-4429
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
695600
CA
363LF0000X
Family Nurse Practitioner
29147
TN
363LF0000X
Family Nurse Practitioner
RN175275
GA
Other
Enumeration date
05/01/2007
Last updated
08/19/2021
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