Individual
JENNIFER FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
11101 W LINCOLN AVE, WEST ALLIS, WI 53227-1133
(414) 327-3000
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13767
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13767
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13767
APN LICENSE
WI
01
—
159919-30
REGISTERED NURSE
WI
Enumeration date
04/28/2010
Last updated
04/05/2023
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