Individual
JENNIFER SHIRLIEAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6143
CT
Other
Enumeration date
04/24/2023
Last updated
09/08/2025
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