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

Marisa Leigh Nichols, PA-C

Individual provider Physician Assistant · NPI 1518744499

Marisa Leigh Nichols, PA-C is a Physician Assistant in Southfield, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

23077 Greenfield Rd Ste 253
Southfield, MI 48075-3750
Phone: (248) 559-5950
Fax: (248) 559-2103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6001 W Outer Dr Ste 340, Detroit, MI 48235-2626 — (313) 341-8166

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012050 (MI)

Record details

NPI number1518744499
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

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