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General NPI Number Information
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NPI Number | 1962815357
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Entity Type | Individual
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Provider Name | JENNIFER MARY FISHER RN, MSN, CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 34719 6TH AVE S
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City | FEDERAL WAY
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State | WA
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Zip | 98003-8714
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Country | US
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Telephone | 210-740-4251
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Fax |
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Provider Business Mailing Address
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Address Line | 13609 111TH STREET CT E
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City | PUYALLUP
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State | WA
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Zip | 98374-8900
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Country | US
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Telephone | 210-740-4251
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP61059847
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61059838
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License Number State | WA
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