Fish, Cynthia B

Fish, Cynthia B is an individual health care provider with primary practice located at 29 N Star Dr Suite C, Jackson TN 38305-6656. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fish, Cynthia B can be contacted via phone (731) 664-7949.

Contact Information

Primary practice address
29 N Star Dr Suite C Jackson TN 38305-6656
Phone: (731) 664-7949
Fax: (731) 664-6141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN5501 Tennessee

Profile Details

NPI number 1295704666
LBN Legal business name Fish, Cynthia B
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Mar 25th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295704666 NPPES
Tennessee MEDICAID Q010795

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