=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225957426
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NICOLE FISHER APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/13/2026
-----------------------------------------------------
Last Update Date | 07/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 130 ANNA STALP AVE
-----------------------------------------------------
City | WEST POINT
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68788
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-380-3128
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 746 E WILLOW ST
-----------------------------------------------------
City | WEST POINT
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68788-2448
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | 116976
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------