Individual
MRS. DANIELLE JO FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
220 S PARK AVE FL 2, HERRIN, IL 62948-3602
(618) 988-6240
Mailing address
220 S PARK AVE FL 2, HERRIN, IL 62948-3602
(618) 988-6240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209020660
IL
Other
Enumeration date
01/09/2020
Last updated
05/15/2023
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