Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jay Marlin Nissley, MD

Individual provider Pediatrics Physician · NPI 1215924345

Dr. Jay Marlin Nissley, MD is a Pediatrics Physician in Lewisburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

55 Medical Park Dr
Lewisburg, PA 17837-6343
Phone: (570) 523-3264
Fax: (570) 523-3465
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD011004E (PA)

Record details

NPI number1215924345
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 4, 2005
Last updated in NPPESNovember 10, 2011

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