Individual
KASYN DELYNN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
11 BARNES RD, MEDINA, TN 38355-8682
(731) 614-0896
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000194536
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
24468
TN
Other
Enumeration date
03/27/2018
Last updated
08/22/2024
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