MEDICARE: MRS. NANCY ELIZABETH FISHER MSN,APRN

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
1	363LF0000X	Family Nurse Practitioner	RN062903	GA

General Provider Information

NPI Number	:	1205970654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY ELIZABETH FISHER MSN,APRN

Provider Business Mailing Address
First Line	:	601 S. ENOTA DRIVE
Second Line	:	SUITE Q
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-2061
Country	:	US
Telephone Number	:	770-219-8420
Fax Number	:	770-219-8440

Provider Business Practice Location Address
First Line	:	5281 CLEVELAND HIGHWAY
Second Line	:
City	:	CLERMONT
State	:	GA
Zip	:	30527
Country	:	US
Telephone Number	:	770-983-1611
Fax Number	:	770-983-9143

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2007
Last Update Date	:	02/22/2010

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