Individual provider · Type 1 NPI
Kenneth William Nissen, ANP
Adult Health Nurse Practitioner · Port Jefferson, NY
NPI number
1043659980
Active
Practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Mailing address
25 Wiltshire Dr
Commack, NY 11725-3330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 306258 (NY) |
Adult Health Nurse Practitioner: Definition to come...
340 other providers at this address
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Other adult health nurse practitioner providers in Port Jefferson
- Janice Fleischman Eaton, ANP-CAdult Health Nurse Practitioner Port Jefferson, NY NPI 1003060229
- Joan L. Nathan, A.N.P.Adult Health Nurse Practitioner Port Jefferson, NY NPI 1053438952
- Laura Elizabeth Vinci, NPAdult Health Nurse Practitioner Port Jefferson, NY NPI 1073226650
- Marie O'Brien, ANPAdult Health Nurse Practitioner Port Jefferson, NY NPI 1073860607
- Ralph F. Fabiani, NPAdult Health Nurse Practitioner Port Jefferson, NY NPI 1104600865
- Margaret Mary Cherpak, NPAdult Health Nurse Practitioner Port Jefferson, NY NPI 1134760648
- Stacey Luise Tursi, N.P.Adult Health Nurse Practitioner Port Jefferson, NY NPI 1346243987
- Michele N. Scomello, ANP-CAdult Health Nurse Practitioner Port Jefferson, NY NPI 1366880569
About NPI 1043659980
Kenneth William Nissen, ANP's National Provider Identifier is 1043659980, issued on Jun 24, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Port Jefferson, NY. The record was last updated on Jun 24, 2013.