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NPI Code Detail

MEDICARE: MARISSA-ASHLEY KISS MS, FNP-C

MEDICARE:   MARISSA-ASHLEY  KISS  MS, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered NurseRN.473550OH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.0036959OH

General Provider Information

NPI Number : 1942054960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA-ASHLEY KISS MS, FNP-C
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 765 N HAMILTON RD STE 255
Second Line :
City : GAHANNA
State : OH
Zip : 43230-8703
Country : US
Telephone Number : 614-788-9199
Fax Number : 614-533-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2024
Last Update Date : 03/05/2026

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Directions to “ MARISSA-ASHLEY KISS MS, FNP-C” Practice Location

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