Jennifer C Nissley, is a
Counselor - Mental Health based in Freeburg, Pennsylvania. Jennifer C Nissley is licensed to practice in * (Not Available) (license number ) and her current practice location is
6 North Willow St, Freeburg, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(717) 991-5604.
NPI number for Jennifer C Nissley is 1104159169 and her current mailing address is 335 S Franklin St, Wilkes Barre, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104159169.
Healthcare Provider's Profile
Full Name | Jennifer C Nissley |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6 North Willow St, Freeburg, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1104159169
- Provider Enumeration Date: 09/09/2009
- Last Update Date: 12/22/2022
Medical Identifiers
Medical identifiers for Jennifer C Nissley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104159169 | NPI | - | NPPES |
1007777400036 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer C Nissley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer C Nissley, 335 S Franklin St, Wilkes Barre, PA 18702-3808 Ph: (570) 825-6425 | Jennifer C Nissley, 6 North Willow St, Freeburg, PA 17827-0000 Ph: (717) 991-5604 |
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