Individual
TUCKER L FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1801 N SENATE BLVD STE 230, INDIANAPOLIS, IN 46202-1252
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71010741A
IN
363LF0000X
Family Nurse Practitioner
71010741A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71010741A
IN
Other
Enumeration date
01/08/2021
Last updated
09/16/2025
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