Fisher, Phyllis C
Fisher, Phyllis C is an individual health care provider with primary practice located at 1826 N Main Ave , Erwin TN 37650-8932. 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, Phyllis C can be contacted via phone (423) 743-6135.Contact Information
Primary practice address
1826 N Main Ave
Erwin TN 37650-8932
Phone: (423) 743-6135
Fax: (423) 743-0035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6698 | Tennessee |
Profile Details
| NPI number | 1114922937 |
|---|---|
| LBN Legal business name | Fisher, Phyllis C |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jan 21st, 2010 - about 14 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 | 1114922937 | NPPES |
| Tennessee | MEDICAID | 3343285 | |
| Tennessee | Other | 3043701 |
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