| Kerry Michael Nissley, | |
|
5665 Main St, East Petersburg, PA 17520-1513 | |
| (717) 569-7011 | |
| Not Available |
| Full Name | Kerry Michael Nissley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 5665 Main St, East Petersburg, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497160295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP013914 (Pennsylvania) | Primary |
| Entity Name | Lancaster General Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952392383 PECOS PAC ID: 0941103683 Enrollment ID: O20040309000916 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Michael Nissley, 5665 Main St, East Petersburg, PA 17520-1513 Ph: (717) 569-7011 | Kerry Michael Nissley, 5665 Main St, East Petersburg, PA 17520-1513 Ph: (717) 569-7011 |
Elise Perlaki, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5665 Main St, East Petersburg, PA 17520 Phone: 717-569-7011 | |
Felisha Rita Murray, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5665 Main St, East Petersburg, PA 17520 Phone: 717-569-7011 | |
Mrs. Elizabeth C Sigmund, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5665 Main St, East Petersburg, PA 17520 Phone: 717-569-7011 Fax: 717-569-8694 | |
Kara Beth Garber, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1097 Commercial Ave, East Petersburg, PA 17520 Phone: 717-572-9365 |