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Individual
TUCKER L FISHER
Active
Individual
TUCKER L FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71010741A
IN
363LF0000X
Family Nurse Practitioner
71010741A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71010741A
IN
Other
Enumeration date
01/08/2021
Last updated
09/16/2025
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