Individual
JESSICA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5414 BALLARD RED SULPHUR PKWY, PETERSTOWN, WV 24963-6048
(304) 753-4322
Mailing address
1134 PINE GROVE RD, LINDSIDE, WV 24951-7022
(304) 994-1046
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31580
WV
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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