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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700284312

Elise Nissen, MD is a Student in an Organized Health Care Education/Training Program in Vallejo, California. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

975 Sereno Dr
Vallejo, CA 94589-2441
Phone: (707) 651-4919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700284312
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 12, 2014
Last updated in NPPESDecember 12, 2014

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