Individual
MRS. JENNIFER LYN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 10TH AVE, RM B160, COLUMBUS, OH 43210-1240
(614) 685-9615
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 366-3733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.351393
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.17400-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0142975
—
OH
Enumeration date
05/03/2015
Last updated
01/25/2022
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