MS. STEPHANIE WISBY NISSEN
NPI 1063638484
Counselor - Professional in Graham, NC

Active since April 17, 2007
142 S MAIN ST, GRAHAM, NC 27253(336) 214-0709(336) 931-9385 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Stephanie Wisby Nissen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STEPHANIE WISBY NISSEN (NPI 1063638484) is an individual professional provider in Graham, North Carolina, licensed in North Carolina (5130) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063638484
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. STEPHANIE WISBY NISSEN
Location Address142 S MAIN STGraham, NC 27253-2808
Mailing Address7017 Mcgowan Creek RoadEfland, NC 27243 · (919) 732-6214
Fax(336) 931-9385
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063638484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NC · 5130
142 S MAIN ST, Graham, NC 27253

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Nissen's NPI number?

The NPI number for Stephanie Nissen is 1063638484. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Stephanie Nissen located?

Stephanie Nissen practices at 142 S Main St, Graham, NC 27253. The listed phone number is (336) 214-0709.

What is Stephanie Nissen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Stephanie Nissen was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.