Provider Demographics
NPI:1710278569
Name:NISSINEN, JANNE KRISTOFFER (MD)
Entity Type:Individual
Prefix:
First Name:JANNE
Middle Name:KRISTOFFER
Last Name:NISSINEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9500 GILMAN DR
Mailing Address - Street 2:MAIL CODE: 0948
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0948
Mailing Address - Country:US
Mailing Address - Phone:858-822-4800
Mailing Address - Fax:858-246-1287
Practice Address - Street 1:8950 VILLA LA JOLLA DR
Practice Address - Street 2:SUITE C129
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1714
Practice Address - Country:US
Practice Address - Phone:858-822-4800
Practice Address - Fax:858-246-1287
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2016-10-05
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Provider Licenses
StateLicense IDTaxonomies
CAA1231812084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology