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ELISE NISSEN M.D.
NPI 1700284312
Student in an Organized Health Care Education/Training Program in Vallejo, CA

Active since December 12, 2014
975 SERENO DR, VALLEJO, CA 94589(707) 651-4919 Get Directions Write a Review

NPPES record last updated: December 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elise Nissen M.d. NPPES

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

ELISE NISSEN M.D. (NPI 1700284312) is an individual student in an organized health care education/training program in Vallejo, California and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1700284312
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELISE NISSENCredential: M.D.
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address975 Sereno DrVallejo, CA 94589-2441
Phone(707) 651-4919
Sole ProprietorYes
Enumeration DateDecember 12, 2014
✔ NPI 1700284312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
975 SERENO DR, Vallejo, CA 94589
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Other Names 1

Former Name (1)Elise Taylor M.d.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

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 Elise Nissen's NPI number?

The NPI number for Elise Nissen is 1700284312. It was assigned to this individual provider in the NPPES registry on December 12, 2014. The provider is also known as Elise Taylor M.D..

Where is Elise Nissen located?

Elise Nissen practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-4919.

What is Elise Nissen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elise Nissen was last updated on December 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.