Individual
JACQUELINE K FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3140
(812) 242-3499
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3140
(812) 242-3499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002320A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000543703
ANTHEM PIN
IN
01
—
P00762010
RAILROAD MEDICARE
IN
01
—
P00834688
RAILROAD MEDICARE
IN
Enumeration date
04/10/2007
Last updated
03/14/2013
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