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NPI Code Detail

MEDICARE: JESSICA FISHER

MEDICARE: JESSICA FISHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician34.017986OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790471936
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA FISHER
Provider Business Mailing Address
First Line : 2213 CHERRY ST
Second Line :
City : TOLEDO
State : OH
Zip : 43608-2603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-3323
Country : US
Telephone Number : 419-557-7455
Fax Number : 419-557-7782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2023
Last Update Date : 04/15/2026

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Directions to “ JESSICA FISHER ” Practice Location

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