Healthcare Provider Details
I. General information
NPI: 1932289147
Provider Name (Legal Business Name): JAMIE HOWELL FISHER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/16/2006
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2900 FRESNO ST SUITE 101
FRESNO CA
93721-1439
US
IV. Provider business mailing address
4910 E CLINTON WAY SUITE 101
FRESNO CA
93727-1560
US
V. Phone/Fax
- Phone: 559-227-4472
- Fax: 559-227-4217
- Phone: 559-443-2682
- Fax: 559-443-2681
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 170300000X |
| Taxonomy | Genetic Counselor (M.S.) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: