Individual
TELICIA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
11634 BRIAN LAKES DR, JACKSONVILLE, FL 32221-2855
(904) 534-4279
Mailing address
11634 BRIAN LAKES DR, JACKSONVILLE, FL 32221-2855
(904) 534-4279
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
1177891
TX
363LP2300X
Primary Care Nurse Practitioner
321395
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
9235501
FL
363LP2300X
Primary Care Nurse Practitioner
AP61647479
WA
363LP2300X
Primary Care Nurse Practitioner
GAA-NP003620
GA
Other
Enumeration date
09/18/2018
Last updated
01/02/2026
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