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General NPI Number Information
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NPI Number | 1003473695
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Entity Type | Individual
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Provider Name | NICHOLAS COLTON FISHER FNP
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Gender | Male
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Dates
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Enumeration Date | 05/20/2019
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 500 HART ST
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City | MONROE
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State | LA
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Zip | 71201-7504
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Country | US
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Telephone | 318-966-8300
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Fax | 318-966-8301
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Provider Business Mailing Address
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Address Line | 5959 S SHERWOOD FOREST BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70816-6038
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Country | US
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Telephone | 318-966-8300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 206510
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License Number State | LA
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