Individual
JENNIFER ELIZABETH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1340 N. MADISON, ANDERSON, IN 46011-1216
(765) 622-7600
(317) 622-7676
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01069241A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11013748A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201026300
—
IN
01
—
P01048957
RAILROAD MEDICARE
IN
01
—
P01291679
RAILROAD MEDICARE
IN
Enumeration date
05/22/2008
Last updated
11/27/2023
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