Individual
JARRED FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
908 S WILLIAMSON AVE, ELON, NC 27244-9280
(336) 538-2416
Mailing address
1949 BARBEE ST, BURLINGTON, NC 27217-1004
(331) 442-5062
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-08030
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-08030
PA LICENSE NUMBER
NC
Enumeration date
04/16/2018
Last updated
04/16/2018
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