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

Michael D Nissen, NP-C

Individual provider Family Nurse Practitioner · NPI 1417077827

Michael D Nissen, NP-C is a Family Nurse Practitioner in Vernon, Florida. Licensed in Florida and North Carolina. Registered with an NPI since 2007.

Licensed in
FL, NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3399 Ferris Cir
Vernon, FL 32462-2217
Phone: (706) 594-6919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11026653 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 242756 (NC)

Record details

NPI number1417077827
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedMarch 30, 2007
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

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