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1124734157
J MARK NISLY
HERSHEY, PA
NPI
1124734157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: PA SP026545)
Enumeration Date
2023-01-24
Last Update Date
2023-04-06
Business Address
J MARK NISLY CRNP
500 UNIVERSITY DR
HERSHEY, PA 17033-2360
Phone number: 717-531-0000
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Mailing Address
J MARK NISLY CRNP
3148 LINCOLN HWY E
PARADISE, PA 17562-9601
Phone number: 620-694-7624
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