Individual
MRS. KRISTI JO NISSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2759 STATE ROAD 37, MITCHELL, IN 47446
(812) 849-6420
Mailing address
2759 STATE ROAD 37, MITCHELL, IN 47446-6016
(812) 992-5440
(812) 992-5441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003156A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200989620
—
IN
Enumeration date
12/03/2009
Last updated
07/24/2024
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