Individual provider · Type 1 NPI

Kathryn Marie Hissong, ACAGNP-BC

Adult Health Nurse Practitioner · Traverse City, MI

NPI number 1992519649 Active

Practice location

1221 Sixth St Ste 300
Traverse City, MI 49684-2360

Call (231) 392-0640 Map

Mailing address

2980 Arborvitae Dr Apt 2
Traverse City, MI 49685-6706

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X4704278432 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1992519649

Kathryn Marie Hissong, ACAGNP-BC's National Provider Identifier is 1992519649, issued on Feb 4, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Traverse City, MI. The record was last updated on Jul 13, 2026.