Fisher, Jacqueline K

Fisher, Jacqueline K is an individual health care provider with primary practice located at 1429 N 6Th St , Terre Haute IN 47807-1037. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fisher, Jacqueline K can be contacted via phone (812) 242-3140.

Contact Information

Primary practice address
1429 N 6Th St Terre Haute IN 47807-1037
Phone: (812) 242-3140
Fax: (812) 242-3499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002320A Indiana

Profile Details

NPI number 1295958379
LBN Legal business name Fisher, Jacqueline K
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Mar 14th, 2013 - about 11 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 1295958379 NPPES
Indiana Other 000000543703 ANTHEM PIN
Indiana Other P00834688 ANTHEM PIN
Indiana Other P00762010 ANTHEM PIN

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