Individual provider · Type 1 NPI

J Mark Nisly, CRNP

Critical Care Medicine Nurse Practitioner · Hershey, PA

NPI number 1124734157 Active

Practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

3148 Lincoln Hwy E
Paradise, PA 17562-9601

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Nurse Practitioner Primary 363LC0200XSP026545 (PA)

Critical Care Medicine Nurse Practitioner: Definition to come...

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About NPI 1124734157

J Mark Nisly, CRNP's National Provider Identifier is 1124734157, issued on Jan 24, 2023. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Hershey, PA. The record was last updated on Apr 6, 2023.