Individual
MS. DAISY EILEEN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1357
Mailing address
1221 DEERFIELD LN, JACKSON, MS 39211-3116
(601) 956-9388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R561584
MS
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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