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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295958379 | NPPES |
| Indiana | Other | 000000543703 | ANTHEM PIN |
| Indiana | Other | P00834688 | ANTHEM PIN |
| Indiana | Other | P00762010 | ANTHEM PIN |
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