Individual
ALYSSABETH FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 METRO DR, JEFFERSON CITY, MO 65109-1134
(573) 634-3000
(573) 635-7560
Mailing address
3102 CASSIDY RD, JEFFERSON CITY, MO 65101-9127
(573) 634-3000
(573) 635-7560
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
164W00000X
MO
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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