Individual
JASON FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-4922
Mailing address
201 STATE ST, ERIE, PA 16550-0002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP015004
PA
Other
Enumeration date
06/12/2015
Last updated
05/24/2021
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