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Individual
TISHA BRITTAIN FISHER
Active
Individual
TISHA BRITTAIN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201410
NC
363LF0000X
Family Nurse Practitioner
Primary
201410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213M
BLUE CROSS BLUE SHIELD GROUP NUMBER
NC
01
—
145780
RN LICENSE
NC
01
—
154H7
BCBS
NC
01
—
201410
NP LICENSE
NC
01
—
2315894
MEDICARE GROUP NUMBER
NC
01
—
890213M
MEDICAID GROUP NUMBER
NC
Enumeration date
04/28/2008
Last updated
03/07/2023
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