Individual
MICHELLE L VISSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(812) 288-8360
(812) 288-8375
Mailing address
443 SPRING ST STE 200, JEFFERSONVILLE, IN 47130-4494
(812) 288-8360
(812) 288-8375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009198A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300029064
—
IN
05
—
7100612020
—
KY
Enumeration date
06/13/2019
Last updated
08/20/2020
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