Fisher, Jennifer L

Fisher, Jennifer L is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-3001. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fisher, Jennifer L can be contacted via phone (352) 273-6045.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-3001
Phone: (352) 273-6045
Fax: (352) 273-6156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY9552 Florida
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5039 Wisconsin

Profile Details

NPI number 1871565275
LBN Legal business name Fisher, Jennifer L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jun 7th, 2023 - about last year

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 1871565275 NPPES
Florida MEDICAID 018708400

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