Individual
NICOLE KASSANDRA CARISSIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(267) 639-5901
Mailing address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(267) 639-5901
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP022542
PA
Other
Enumeration date
09/19/2020
Last updated
04/14/2026
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