Individual provider · Type 1 NPI
Kelly Bissey
Adult Health Nurse Practitioner · New York, NY
NPI number
1780121707
Active
Practice location
161 Fort Washington Ave
New York, NY 10032-3729
Fax (212) 305-8111
Mailing address
630 W 168th St # 4
New York, NY 10032-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 637619 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F308554 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1780121707
Kelly Bissey's National Provider Identifier is 1780121707, issued on Jan 28, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Oct 4, 2018.