Jay Marlin Nissley in Lewisburg - Pediatrics
Jay Marlin Nissley - NPI 1215924345
Jay Marlin Nissley is a Pediatrics in Lewisburg, Pennsylvania. Jay Marlin Nissley practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jay Marlin Nissley is 1215924345. The last update date is 2011-11-10.
Jay Marlin Nissley's current location address is 55 Medical Park Dr, Lewisburg, Pennsylvania. You can contact this provider via phone number 5705233264 and fax number 5705233465. The mailing address for Jay Marlin Nissley is 55 Medical Park Dr, Lewisburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Marlin Nissley |
|---|---|
| Address | 55 Medical Park Dr, Lewisburg, Pennsylvania |
| Phone Number | 5705233264 |
| Fax Number | 5705233465 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215924345 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2011-11-10 |
Provider Mailing Address Detail
| Address | 55 Medical Park Dr |
|---|---|
| City | Lewisburg |
| State | Pennsylvania (PA) |
| Post Code | 178376343 |
| Phone Number | 5705233264 |
| Fax Number | 5705233465 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD011004E |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8831050003 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jay Marlin Nissley by the Centers for Medicare & Medicaid Services (CMS)?
The Jay Marlin Nissley has been assigned the NPI (National Provider Identifier) 1215924345. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jay Marlin Nissley's facilities are situated?
The facilities of Jay Marlin Nissley are physically located at the following address: 55 Medical Park Dr, Lewisburg, PA, 178376343.
What is Jay Marlin Nissley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jay Marlin Nissley is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did Jay Marlin Nissley receive its 1215924345 assignment from the Centers for Medicare & Medicaid Services?
The Jay Marlin Nissley was assigned its 1215924345 on 2005-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jay Marlin Nissley most recently updated or refreshed?
The details pertaining to the Jay Marlin Nissley, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-10.