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
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | SP026545 (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.