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General NPI Number Information
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NPI Number | 1477432102
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Entity Type | Individual
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Provider Name | JESSICA ANANDA FISHER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 200 PAVILION WAY
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-4561
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Country | US
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Telephone | 910-235-3330
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Fax | 910-235-3400
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Provider Business Mailing Address
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Address Line | 200 PAVILION WAY
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-4561
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Country | US
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Telephone | 910-235-3330
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Fax | 910-235-3400
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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 | 5022955
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License Number State | NC
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