Individual
JOSHUA DAVID FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
3960 WHITE KESTREL DR, RALEIGH, NC 27616-9795
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
313593
NC
363LF0000X
Family Nurse Practitioner
Primary
5022554
NC
363LF0000X
Family Nurse Practitioner
FISH-VB21M
NC
Other
Enumeration date
06/21/2025
Last updated
10/13/2025
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