Individual
TRACY LYNN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, NP-C
Contact information
Practice address
4900 KELLEY HWY, FORT SMITH, AR 72904-5000
(479) 785-5700
(479) 785-5708
Mailing address
PO BOX 130, RATCLIFF, AR 72951-0130
(479) 635-0091
(479) 635-2010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03126
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023270790
—
MO
05
—
168417758
—
AR
05
—
200200260A
—
OK
Enumeration date
06/25/2008
Last updated
05/06/2013
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