Dr. Jay Marlin Nissley
M.D. | Pediatrics | Male
Dr. Jay Marlin Nissley, M.D. is a Lewisburg, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jay Marlin Nissley is
55 Medical Park Dr, Lewisburg, Pennsylvania - 17837-6343. He can be contacted on phone at
570-523-3264 and fax number 570-523-3465.
Dr. Jay Marlin Nissley is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jay Marlin Nissley is
1215924345 which was assigned by NPPES on 04 Oct, 2005 and it was last updated on 10 Nov, 2011.
Dr. Jay Marlin Nissley license number is
MD011004E for Pediatrics (208000000X) in Pennsylvania.
Dr. Jay Marlin Nissley is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jay Marlin Nissley basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jay Marlin Nissley |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jay Marlin Nissley address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Medical Park Dr
Lewisburg, PA, 17837-6343
United States |
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| Phone Number : | 570-523-3264 |
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| Fax Number : | 570-523-3465 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215924345 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Oct, 2005 |
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| Last Updated On : | 10 Nov, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jay Marlin Nissley are as mentioned. Primary taxonomy code for Dr. Jay Marlin Nissley, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD011004E | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jay Marlin Nissley such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0008831050003 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 55 Medical Park Dr
Lewisburg, PA, 17837-6343
United States |
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| Phone Number : | 570-523-3264 |
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| Fax Number : | 570-523-3465 |
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Business Location:
Patients can refer following map for directions to
Dr. Jay Marlin Nissley practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.