Individual
MRS. JEANNINE LYNN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1050 EAGLES LANDING PKWY STE 200, STOCKBRIDGE, GA 30281-9200
(580) 480-5783
Mailing address
1050 EAGLES LANDING PKWY STE 200, STOCKBRIDGE, GA 30281-9200
(580) 480-5783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
241762
GA
363LF0000X
Family Nurse Practitioner
RN241762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN241762
NONE
GA
Enumeration date
01/04/2021
Last updated
05/22/2022
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