Malissa D Wickersham
FNP | Nurse Practitioner - Family
1 Wahoo Ave, Groton
Connecticut, 06349-2324
860-694-7521
Malissa D Wickersham is a Groton, Connecticut based nurse practitioner who is specialized as Family nurse. Active license number of Malissa D Wickersham is CP000606 for Family in South Dakota. Her current practice location is 1 Wahoo Ave, Groton. Patients can reach her at 860-694-7521. Malissa D Wickersham is FNP with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1992005623.
Malissa D Wickersham delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Malissa D Wickersham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Malissa D Wickersham |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 1 Wahoo Ave, Groton,
Connecticut, 06349-2324 |
| Phone: | 860-694-7521 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1992005623 |
| NPI Enumeration Date: | 28 Oct, 2010 |
| NPI Last Update On: | 18 Nov, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Malissa D Wickersham are as mentioned below.
| License Number | Specialization | State | Status | |
| CP000606 | Family | South Dakota | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Malissa D Wickersham
1 Wahoo Ave,
Groton, Connecticut |
| Zip: | 06349-2324 |
| Phone Number: | 860-694-7521 |
Patients can reach Malissa D Wickersham at
1 Wahoo Ave, Groton, Connecticut or can
call to book an appointment on 860-694-7521.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.