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NPI Code Detail

MEDICARE: JAMIE FISHER

MEDICARE: JAMIE FISHER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner1-147100AL

General Provider Information

NPI Number : 1205386737
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE FISHER
Provider Business Mailing Address
First Line : 2871 ACTON RD STE 100
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2560
Country : US
Telephone Number : 205-716-6900
Fax Number :
Provider Business Practice Location Address
First Line : 2871 ACTON RD STE 100
Second Line :
City : VESTAVIA
State : AL
Zip : 35243-2560
Country : US
Telephone Number : 205-716-6900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2016
Last Update Date : 10/07/2016

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Directions to “ JAMIE FISHER ” Practice Location

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