Individual
JILL FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BRADFORD AVE, FAYETTEVILLE, NC 28301-5401
(910) 323-0601
(910) 222-6424
Mailing address
109 BRADFORD AVE, FAYETTEVILLE, NC 28301-5401
(910) 323-0601
(910) 222-6424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133450
NC
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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