Individual
JEREMY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP-BC
Contact information
Practice address
175 HARLEY RD, SOUTH SHORE, KY 41175-7067
(740) 357-7261
Mailing address
901 WASHINGTON ST, PORTSMOUTH, OH 45662-3944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
398836
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
024128
OH
Other
Enumeration date
12/18/2018
Last updated
05/17/2021
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