Individual
CYNTHIA B FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
29 N STAR DR, SUITE C, JACKSON, TN 38305-6656
(731) 664-7949
(731) 664-6141
Mailing address
PO BOX 10266, JACKSON, TN 38308-0104
(731) 664-7949
(731) 664-6141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN5501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010795
—
TN
Enumeration date
03/16/2006
Last updated
03/25/2015
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