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General NPI Number Information
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NPI Number | 1861200305
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Entity Type | Individual
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Provider Name | LISA FISHER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1904 HIGHWAY 46 S STE 3
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City | DICKSON
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State | TN
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Zip | 37055-7745
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Country | US
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Telephone | 615-740-9977
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Fax | 615-740-9978
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Provider Business Mailing Address
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Address Line | 11205 TIDWELL RD
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City | BON AQUA
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State | TN
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Zip | 37025-1357
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 36682
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License Number State | TN
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