MALISSA BISE


Address: 14 W Jordan St Ste A&b, Pensacola, FL 32501-1736
Phone: 8504364630

MALISSA BISE (NPI# 1023448115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023448115
Entity Type Individual
Full Name MALISSA BISE
Credential APRN-CNP
Practice Address 14 W Jordan St Ste A&b
Pensacola
FL 32501-1736
Mailing Address 2315 W Jackson St
Pensacola
FL 32505-7552
Practice Telephone 8504364630
Practice Fax Number 8506371677
Mailing Telephone 8504364630
Mailing Fax Number 8504362095
Enumeration Date 2013-11-26
Last Update Date 2020-07-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN444489 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 019337300 05
FL BCBS 91CEX 01

Office Location

Street Address 14 W JORDAN ST STE A&B
City PENSACOLA
State FL
Zip Code 32501-1736

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669084976 Steven Bollen Pharmacist 870 E Cervantes, Pensacola, FL 32501 2020-08-18
1013558733 Erica Watts Social Worker 901 North I Street, Pensacola, FL 32501 2019-10-03
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1336700038 Michael Enriquez Student in an Organized Health Care Education/Training Program Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 2019-06-24
1336631803 Ana Andreea Curta Student in an Organized Health Care Education/Training Program Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 2018-05-31
1700374618 Telecia Walker Massage Therapist 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 2018-04-26
1578085254 Mary Holland Hegarty Physical Therapist 1000 W, Moreno St, Pensacola, FL 32501 2017-07-13
1184162455 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 1525 E Nine Mile Road, Pensacola, FL 32501 2017-02-07
1215271564 Pathways for Change, Inc Social Worker 2050 West Blount Street, Pensacola, FL 32501 2012-11-26
1962697342 Martha M Green Family Medicine 1717 N E St Ste 222a, Pensacola, FL 32501 2007-09-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174121156 Evangeline Mahima Standridge Nurse Practitioner 7828 Woodpointe Dr, Pensacola, FL 32514-6625 2020-10-13
1902411143 Richard Hutson Nurse Practitioner 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 2020-09-14
1982218202 Sherri Louise Pucillo Nurse Practitioner 1717 N E St Ste 526, Pensacola, FL 32501-6333 2020-09-03
1740893841 Krista Ivana Robinson Nurse Practitioner 5995 Arch Ave, Pensacola, FL 32526-3232 2020-08-28
1578173670 Lalita Combs Nurse Practitioner 6013 Patch Ln, Pensacola, FL 32526-9177 2020-08-04
1053929075 Cynthia Elaine Garay Nurse Practitioner 4270 Langley Ave, Pensacola, FL 32504-8454 2020-07-15
1083254742 Brittany Beasley Perez Nurse Practitioner 543a Fontaine St Ste A, Pensacola, FL 32503-2018 2020-01-10
1912540238 Jeanne Clack Harris Nurse Practitioner 3002 E Jackson St, Pensacola, FL 32503-6437 2019-10-18
1598315608 Lanora Glaze Nurse Practitioner 1645 Elmhurst Rd, Pensacola, FL 32505-1039 2019-09-19
1710547609 Stephanie Evans Nurse Practitioner 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 2019-06-13
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Competitor

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City PENSACOLA
Zip Code 32501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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