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

Malissa D Wickersham, FNP

Individual provider Family Nurse Practitioner · NPI 1992005623

Malissa D Wickersham, FNP is a Family Nurse Practitioner in Groton, Connecticut. Practices as a sole proprietor. Licensed in South Dakota.

Licensed in
SD
In the registry since
2010
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1 Wahoo Ave
Groton, CT 06349-2324
Phone: (860) 694-7521
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence CP000606 (SD)

Record details

NPI number1992005623
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedOctober 28, 2010
Last updated in NPPESNovember 18, 2019

Other providers in Groton