Individual
JENNIFER LYNN FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-4131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
244541
NC
367500000X
Certified Registered Nurse Anesthetist
4704234354
MI
Other
Enumeration date
01/17/2007
Last updated
08/28/2023
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