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Individual

MRS. JILL FISCHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
300 WASHINGTON ST, NORWICH, CT 06360-2910
(860) 886-1660
Mailing address
29 QUINLEY WAY, WATERFORD, CT 06385-4131
(860) 443-7296

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
000984
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
400000948CT01
ANTHEM BLUE CROSS/BLUE SH
CT
Enumeration date
10/04/2006
Last updated
07/08/2007
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