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NPI Code Detail

MEDICARE: MS. AMY JO FISHER RN

MEDICARE: MS. AMY JO FISHER RN
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
1163WP0200XPediatric Registered NurseRN0000156343TN
2163W00000XRegistered Nurse35700OH
3163W00000XRegistered Nurse2453NC

General Provider Information

NPI Number : 1912103359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY JO FISHER RN
Provider Business Mailing Address
First Line : 150 TAYLOR STATION RD
Second Line : SUITE 360
City : COLUMBUS
State : OH
Zip : 43213-4440
Country : US
Telephone Number : 614-546-3936
Fax Number : 614-546-3918
Provider Business Practice Location Address
First Line : 150 TAYLOR STATION RD
Second Line : SUITE 360
City : COLUMBUS
State : OH
Zip : 43213-4440
Country : US
Telephone Number : 614-546-3936
Fax Number : 614-546-3918
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 12/18/2013

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